Individual
KATHERINE LEIGH KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP-IT
Contact information
Practice address
3818 60TH ST, KENOSHA, WI 53144-2767
(262) 842-7012
Mailing address
2400 ASHLAND AVE, RACINE, WI 53403-2912
(262) 412-5562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7798-226
WI
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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