Provider Demographics
NPI:1801257050
Name:HADJERIOUA, KATHRINE OLIVIA WARNOCK (LPC)
Entity type:Individual
Prefix:
First Name:KATHRINE
Middle Name:OLIVIA WARNOCK
Last Name:HADJERIOUA
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 1:708 WEDGEGATE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-6820
Mailing Address - Country:US
Mailing Address - Phone:865-240-9324
Mailing Address - Fax:
Practice Address - Street 1:708 WEDGEGATE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-6820
Practice Address - Country:US
Practice Address - Phone:865-240-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92096101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional