Individual
MS. ACIEONA EVONNE KOVATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
121 W FRANKLIN ST, SPARTA, WI 54656-1754
(262) 501-8246
Mailing address
121 W FRANKLIN ST, SPARTA, WI 54656-1754
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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