Provider Demographics
NPI:1699283374
Name:APPLEYARD, KATHARINE WALKER (LCPC-C)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:WALKER
Last Name:APPLEYARD
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-5014
Mailing Address - Country:US
Mailing Address - Phone:207-852-3377
Mailing Address - Fax:
Practice Address - Street 1:261 FRENCH ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5014
Practice Address - Country:US
Practice Address - Phone:207-852-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health