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Individual
KATHERINE GROSS
Active
Individual
KATHERINE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6644
SC
101YM0800X
Mental Health Counselor
Primary
7211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2113
—
SC
Enumeration date
11/16/2018
Last updated
08/31/2021
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