Provider Demographics
NPI:1386311629
Name:OSHANA, KATHERINE E (LPC, ATR)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:OSHANA
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:E
Other - Last Name:MANENTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, ATR
Mailing Address - Street 1:65 AVONWOOD RD APT B19
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-2086
Mailing Address - Country:US
Mailing Address - Phone:860-325-2133
Mailing Address - Fax:
Practice Address - Street 1:15 N MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1957
Practice Address - Country:US
Practice Address - Phone:860-681-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5076101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional