Individual
MS. KATHLEEN E. MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.M.
Contact information
Practice address
1015 PANTHER GULCH RD, WILLIAMS, OR 97544-9709
(303) 956-5284
Mailing address
1015 PANTHER GULCH RD, WILLIAMS, OR 97544-9709
(303) 956-5284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
440
CO
101YP2500X
Professional Counselor
C7447
OR
Other
Enumeration date
10/24/2006
Last updated
09/13/2023
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