Basic Information
Provider Information
NPI: 1720754211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TROHA
FirstName: KATHRYN
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 NOBLE DR
Address2:  
City: WOOSTER
State: OH
PostalCode: 446915353
CountryCode: US
TelephoneNumber: 3302643232
FaxNumber:  
Practice Location
Address1: 117 E 3RD ST REAR
Address2:  
City: UHRICHSVILLE
State: OH
PostalCode: 446831818
CountryCode: US
TelephoneNumber: 7409222144
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/17/2021
LastUpdateDate: 01/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000XC.2204005OHY Behavioral Health & Social Service ProvidersCounselor 
101Y00000XC.2103384-TRNEOHN Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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