Provider Demographics
NPI:1316148356
Name:KAY, CATALINA (MS, LPCC, LADC)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:MS, LPCC, LADC
Other - Prefix:
Other - First Name:CATALINA
Other - Middle Name:
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LPCC, LADC
Mailing Address - Street 1:660 18TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56241-1044
Mailing Address - Country:US
Mailing Address - Phone:320-564-4911
Mailing Address - Fax:320-564-3122
Practice Address - Street 1:660 18TH ST
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56241-1044
Practice Address - Country:US
Practice Address - Phone:320-564-4911
Practice Address - Fax:320-564-3122
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLAT-316101YA0400X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY106352908Medicaid
WY106352907Medicaid
WY106352908Medicaid