Provider Demographics
NPI:1194243246
Name:MCLAUGHLIN, KATHERINE MARIE (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MARIE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:MARIE
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:9550 S MASON MONTGOMERY RD # 1005
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9759
Mailing Address - Country:US
Mailing Address - Phone:513-712-6880
Mailing Address - Fax:513-712-6881
Practice Address - Street 1:7998 HUNTERS RIDGE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2033
Practice Address - Country:US
Practice Address - Phone:513-712-6880
Practice Address - Fax:513-712-6881
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1801392101YM0800X
OHE.2102440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0307447Medicaid