Provider Demographics
NPI:1548896038
Name:METCALF, KATHERINE FRANCES (MS, LPCC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:FRANCES
Last Name:METCALF
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5540 BROOKLYN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3069
Mailing Address - Country:US
Mailing Address - Phone:763-780-3036
Mailing Address - Fax:763-780-0784
Practice Address - Street 1:5540 BROOKLYN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3069
Practice Address - Country:US
Practice Address - Phone:763-780-3036
Practice Address - Fax:763-780-0784
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC02132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health