Individual
MS. SUZETTE M KOSNAR-TITTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2376125
WI
1041C0700X
Clinical Social Worker
Primary
4044123
WI
106H00000X
Marriage & Family Therapist
489124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39722900
—
WI
Enumeration date
09/01/2006
Last updated
07/21/2022
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