Provider Demographics
NPI:1861119240
Name:KINGLER, CATHERINE J (LPC, QMHP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:KINGLER
Suffix:
Gender:F
Credentials:LPC, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 S BUR OAK PL STE 113B
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2237
Mailing Address - Country:US
Mailing Address - Phone:605-777-0075
Mailing Address - Fax:888-977-2561
Practice Address - Street 1:5024 S BUR OAK PL STE 113B
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2237
Practice Address - Country:US
Practice Address - Phone:605-777-0075
Practice Address - Fax:888-977-2561
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC20738101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health