Individual
AMY CATHERINE KOGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, BCBA
Contact information
Practice address
1020 KABEL AVE, RHINELANDER, WI 54501-3918
(715) 361-2805
Mailing address
1010 RIVER RESERVE DR, HARTLAND, WI 53029-2911
(262) 893-8401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
264-140
WI
106H00000X
Marriage & Family Therapist
956-124
WI
Other
Enumeration date
05/06/2011
Last updated
01/21/2021
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