Individual
MRS. KATHY LYNN KWIATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
814 S WASHINGTON ST, MOSCOW, ID 83843-3049
(208) 883-0619
(208) 882-4774
Mailing address
455 MOSER CT, MOSCOW, ID 83843-9598
(208) 883-0619
(208) 882-4774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2741
ID
101YM0800X
Mental Health Counselor
5239
WA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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