Provider Demographics
NPI:1366841868
Name:BICKFORD, KATHERINE KESSLER (LCPC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:KESSLER
Last Name:BICKFORD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8737 BROOKS DR., SUITE 203
Mailing Address - Street 2:LIFE COUNSELING CENTER
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-0000
Mailing Address - Country:US
Mailing Address - Phone:410-322-1246
Mailing Address - Fax:
Practice Address - Street 1:8737 BROOKS DR STE 203
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7475
Practice Address - Country:US
Practice Address - Phone:410-322-1246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health