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Individual
MS. KATHY L MESA
Active
Individual
MS. KATHY L MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1804-226
WI
101YP2500X
Professional Counselor
1804-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048711
—
WI
Enumeration date
09/01/2013
Last updated
03/06/2023
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