Basic Information
| Provider Information | |||||||||
| NPI: | 1700082153 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOEHRING | ||||||||
| FirstName: | CATHY | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 604 E COLLEGE ST | ||||||||
| Address2: | |||||||||
| City: | CARBONDALE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 629013309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6184576703 | ||||||||
| FaxNumber: | 6185493734 | ||||||||
| Practice Location | |||||||||
| Address1: | 604 E COLLEGE ST | ||||||||
| Address2: | |||||||||
| City: | CARBONDALE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 629013309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6184576703 | ||||||||
| FaxNumber: | 6185493734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | IL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.