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Individual

KATHERINE PROK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3345 S POPPY ST, MORRISON, CO 80465-1591
(517) 648-7565
Mailing address
3345 S POPPY ST, MORRISON, CO 80465-1591

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CO

Other

Enumeration date
04/15/2021
Last updated
12/22/2022
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