Provider Demographics
NPI:1396759908
Name:DURHAM, KATHERINE ORLOFF (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ORLOFF
Last Name:DURHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 ELKINS LK
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-7308
Mailing Address - Country:US
Mailing Address - Phone:936-295-6222
Mailing Address - Fax:
Practice Address - Street 1:7517 STATE HIGHWAY 75 S
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-2485
Practice Address - Country:US
Practice Address - Phone:936-291-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health