Provider Demographics
NPI:1043563794
Name:HOSTETTER, KATRINA (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:
Last Name:HOSTETTER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5132
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17606-5132
Mailing Address - Country:US
Mailing Address - Phone:717-560-5940
Mailing Address - Fax:717-560-5940
Practice Address - Street 1:800 OLDE HICKORY RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4932
Practice Address - Country:US
Practice Address - Phone:717-560-5940
Practice Address - Fax:717-560-5940
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001517101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional