Provider Demographics
NPI:1801541610
Name:FISCHER, KATHERINE S (LPC, RPT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:S
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, RPT
Mailing Address - Street 1:14 TOWERBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-4802
Mailing Address - Country:US
Mailing Address - Phone:636-288-0772
Mailing Address - Fax:
Practice Address - Street 1:2046 QUEENSBROOKE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-7853
Practice Address - Country:US
Practice Address - Phone:636-223-5230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020012074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional