Provider Demographics
NPI:1730411851
Name:REDDY, KATE (LCPC)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:REDDY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N 9TH ST STE 401A
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-5770
Mailing Address - Country:US
Mailing Address - Phone:208-961-1569
Mailing Address - Fax:208-286-2728
Practice Address - Street 1:202 N 9TH ST STE 401A
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5770
Practice Address - Country:US
Practice Address - Phone:208-961-1569
Practice Address - Fax:208-286-2728
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-4872101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor