Provider Demographics
NPI:1326413188
Name:KATELEY-WILLIAMS, CATHERINE MARCELINE (LPC, CADC2)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARCELINE
Last Name:KATELEY-WILLIAMS
Suffix:
Gender:F
Credentials:LPC, CADC2
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:MARCELINE
Other - Last Name:KATELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CADC1
Mailing Address - Street 1:132 GLYNBROOK ST N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-5796
Mailing Address - Country:US
Mailing Address - Phone:971-227-9808
Mailing Address - Fax:
Practice Address - Street 1:132 GLYNBROOK ST N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-5796
Practice Address - Country:US
Practice Address - Phone:971-227-9808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4989101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500711491Medicaid