Individual
MS. KATHLEEN ANNE MUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
1101 4TH ST, SUITE 3A, SIOUX CITY, IA 51101-1952
(712) 251-7045
Mailing address
1101 4TH ST, SUITE 3A, SIOUX CITY, IA 51101-1952
(712) 251-7045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00910
IA
101YM0800X
Mental Health Counselor
Primary
00910
IA
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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