Provider Demographics
NPI:1538335849
Name:HOSIE, KATHERINE RAYE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RAYE
Last Name:HOSIE
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:HOSIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, LPC
Mailing Address - Street 1:1683 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:STAYTON
Mailing Address - State:OR
Mailing Address - Zip Code:97383
Mailing Address - Country:US
Mailing Address - Phone:360-909-9722
Mailing Address - Fax:
Practice Address - Street 1:101 E. 8TH ST. STE 110
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660
Practice Address - Country:US
Practice Address - Phone:360-909-9722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORC6331101YM0800X
WALH60172332101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health