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Organization

AVENUES PSYCHOTHERAPY COLLECTIVE LCSW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE M KOWALCZIK LCSW (FOUNDER)
(949) 678-4433
Entity
Organization

Contact information

Practice address
136 S MAIN ST STE 400, SALT LAKE CITY, UT 84101-3632
(949) 678-4433
Mailing address
136 S MAIN ST STE 400, SALT LAKE CITY, UT 84101-3632

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/29/2025
Last updated
09/01/2025
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