Individual
KATELYNN MARIE RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
508 N KENTUCKY ST, KINGSTON, TN 37763-2679
(865) 243-7678
Mailing address
508 N KENTUCKY ST, KINGSTON, TN 37763-2679
(865) 243-7678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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