Provider Demographics
NPI:1043068695
Name:BROOKS, KATHRYN LEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LEE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:LEE
Other - Last Name:SOLOWIEJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2612 CLUBLAKE TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-4006
Mailing Address - Country:US
Mailing Address - Phone:972-762-8382
Mailing Address - Fax:
Practice Address - Street 1:3160 N CUSTER RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3051
Practice Address - Country:US
Practice Address - Phone:972-762-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78199101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor