Individual
DR. KAT KOSMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PSYD
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(971) 264-0952
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 714-1144
(971) 441-5577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
3837
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
OR
Enumeration date
05/07/2018
Last updated
09/27/2024
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