Provider Demographics
NPI:1215192778
Name:ST. AUBIN, KATHARINE (LCSW, CADC)
Entity type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:
Last Name:ST. AUBIN
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 NORTH BELL MANOR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-9407
Mailing Address - Country:US
Mailing Address - Phone:219-359-3272
Mailing Address - Fax:
Practice Address - Street 1:442 NORTH BELL MANOR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-9407
Practice Address - Country:US
Practice Address - Phone:219-359-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006859A1041C0700X
IL1490141541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical