Individual
PA HOUA KIATOUKAYSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2270 HOLMGREN WAY, GREEN BAY, WI 54304-4710
(920) 733-2065
Mailing address
2270 HOLMGREN WAY, GREEN BAY, WI 54304-4710
(920) 733-2065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6036-125
WI
Other
Enumeration date
11/09/2012
Last updated
02/17/2023
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