Provider Demographics
NPI:1871714618
Name:O'CALLAGHAN, KATHERINE MACK (LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MACK
Last Name:O'CALLAGHAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:GRACE
Other - Last Name:MACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-2930
Mailing Address - Country:US
Mailing Address - Phone:978-239-7919
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR STE 415V
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6184
Practice Address - Country:US
Practice Address - Phone:978-587-4943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health