Search › Missouri › 103K00000X
Katherine Petefish, LMSW, LCPC, BCBA LBA
NPI 1487096012 · on the registry since 2013 · sole proprietor
Practice
- Address
- 10719 Buckeye Rd
Festus, MO 63028 - Phone
- (314) 319-7098
- Fax
- (636) 789-9062
- Clinicians at this address
- 4
Additional practice sites
- 171 Roberts Dr, Hillsboro, MO
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101YP2500X
103K00000X
104100000X
251S00000X - Licence states on file
- IL, IA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri