Provider Demographics
NPI:1528848231
Name:ROBERTSON, KATHRYN MARGARET (LPC)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:MARGARET
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 ENCINO CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2400
Mailing Address - Country:US
Mailing Address - Phone:210-289-8427
Mailing Address - Fax:
Practice Address - Street 1:2313 ENCINO CLIFF ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2400
Practice Address - Country:US
Practice Address - Phone:210-289-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84537101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor