Individual
MS. BONNIE LYNN KAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC LMHC
Contact information
Practice address
2208 7TH AVENUE, ROCK ISLAND, IL 61201
(563) 381-1823
(309) 786-2201
Mailing address
11340 95TH AVENUE, BLUE GRASS, IA 52726
(563) 381-2802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00243
IA
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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