National Provider Identifier
Catherine Shane
Catherine Shane is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (828) 252-7775.
Profile Overview
- NPI
- 1922404573
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 10, 2014
- Last Updated
- January 17, 2023
Practice Location
- 103 Rachel Carson Way
- Ithaca, NY 14850-9395
Phone: (828) 252-7775
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1922404573
- Entity Type
- Individual
- Last Name
- Shane
- First Name
- Catherine
- Mailing Street Address
- 103 Rachel Carson Way
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9395
- Mailing Country
- US
- Mailing Phone
- (828) 252-7775
- Practice Street Address
- 103 Rachel Carson Way
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9395
- Practice Country
- US
- Practice Phone
- (828) 252-7775
- Enumeration Date
- November 10, 2014
- Last Updated
- January 17, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)