Provider Demographics
NPI:1043751282
Name:PAPE, KATHARINE FRANCES (MED, ATR, LPCA)
Entity type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:FRANCES
Last Name:PAPE
Suffix:
Gender:F
Credentials:MED, ATR, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 BLUE GATE FARM RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8206
Mailing Address - Country:US
Mailing Address - Phone:919-360-6388
Mailing Address - Fax:
Practice Address - Street 1:1230 SE MAYNARD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6945
Practice Address - Country:US
Practice Address - Phone:919-360-6388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16-224101YP2500X
NCA12888101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional