MEDICARE: NUN KATHERINE K. WESTON MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor
2	101YM0800X	Mental Health Counselor	39002315A	IN

General Provider Information

NPI Number	:	1952457921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NUN KATHERINE K. WESTON MA, LMHC

Provider Business Mailing Address
First Line	:	PO BOX 88442
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-0442
Country	:	US
Telephone Number	:	317-691-6672
Fax Number	:	317-638-4163

Provider Business Practice Location Address
First Line	:	1901 N PENNSYLVANIA ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1417
Country	:	US
Telephone Number	:	317-691-6672
Fax Number	:	844-380-2990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	10/24/2022

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