Individual
KATHRYN LOUISE TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
2110 KYLE LN APT C, ONALASKA, WI 54650-9182
(608) 738-2009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3245
MN
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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