# MINDY S KITTERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841483377
- **Gender:** F
- **Credential:** LSCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCAC 133 | KS | — |
| 1041C0700X | Clinical Social Worker | LSCSW 1575 | KS | Yes |
| 1041C0700X | Clinical Social Worker | MO 2010033353 | MO | — |

## Other

- **Enumeration date:** 08/17/2007
- **Last updated:** 04/03/2012