Provider Demographics
NPI:1790127652
Name:BRADER, KATHERINE R (LMFT, LCMHC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:R
Last Name:BRADER
Suffix:
Gender:F
Credentials:LMFT, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 ENVIRON WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4460
Mailing Address - Country:US
Mailing Address - Phone:919-745-7115
Mailing Address - Fax:
Practice Address - Street 1:1502 W NC HIGHWAY 54 STE 603
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5599
Practice Address - Country:US
Practice Address - Phone:919-900-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-20
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66393101YP2500X
NC11313101YM0800X
TX201539106H00000X
NC1671106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health