Provider Demographics
NPI:1053908574
Name:BRETHOWER, KATHERINE (LCPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:BRETHOWER
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 1:8717 W 110TH ST STE 650
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2113
Mailing Address - Country:US
Mailing Address - Phone:913-276-4625
Mailing Address - Fax:
Practice Address - Street 1:8717 W 110TH ST STE 650
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2113
Practice Address - Country:US
Practice Address - Phone:913-276-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3336101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health