Individual
KATELYNN COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
112 WATSON ST, RIPON, WI 54971-1327
(920) 896-0189
(920) 694-3021
Mailing address
112 WATSON ST, RIPON, WI 54971-1327
(920) 896-0189
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1134-124
WI
106H00000X
Marriage & Family Therapist
468-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114394129
—
WI
Enumeration date
08/25/2015
Last updated
03/17/2018
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