Provider Demographics
NPI:1548503279
Name:LORENZ, KATHRYN E (LPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:LORENZ
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 1:745 CRAIG RD
Mailing Address - Street 2:STE. 304
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7160
Mailing Address - Country:US
Mailing Address - Phone:314-983-9300
Mailing Address - Fax:314-983-9308
Practice Address - Street 1:4191 CRESCENT DR STE D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-1000
Practice Address - Country:US
Practice Address - Phone:314-892-5995
Practice Address - Fax:314-892-5996
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013009170101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional