Provider Demographics
NPI:1447477476
Name:WISENOR, CATHERINE ANNE BELLINGHAM (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANNE BELLINGHAM
Last Name:WISENOR
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:WISENOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LMHC
Mailing Address - Street 1:705 W 7TH AVE STE H2
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2836
Mailing Address - Country:US
Mailing Address - Phone:509-455-7654
Mailing Address - Fax:509-380-9579
Practice Address - Street 1:705 W 7TH AVE STE H2
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2836
Practice Address - Country:US
Practice Address - Phone:509-455-7654
Practice Address - Fax:509-380-9579
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health