Provider Demographics
NPI:1811486137
Name:HAAS, KATHERINE (MS/LPCC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:HAAS
Suffix:
Gender:F
Credentials:MS/LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4303
Mailing Address - Country:US
Mailing Address - Phone:513-206-7245
Mailing Address - Fax:513-206-7245
Practice Address - Street 1:17 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45215-4303
Practice Address - Country:US
Practice Address - Phone:213-206-7170
Practice Address - Fax:513-206-7245
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OHE.2202932-SUPV101YP2500X, 101Y00000X
OHE.2202932101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional