Provider Demographics
NPI:1376980631
Name:FILLION, KATHERINE AUDRA (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:AUDRA
Last Name:FILLION
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:AUDRA
Other - Last Name:GEBBIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:10 BLUFF AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2255
Mailing Address - Country:US
Mailing Address - Phone:860-245-9372
Mailing Address - Fax:
Practice Address - Street 1:10 BLUFF AVE STE 115
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2255
Practice Address - Country:US
Practice Address - Phone:860-245-9372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CT2779101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health