Individual
KATIE S KOCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, LPC
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 437-3540
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11533
STATE LICENSE
WI
05
—
1598440216
—
WI
Enumeration date
06/20/2023
Last updated
01/23/2025
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