Individual
KAITLYN KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 WRIGHT ST, MARQUETTE, MI 49855-1955
(906) 228-7611
(906) 228-8156
Mailing address
97 S 4TH ST STE C, ISHPEMING, MI 49849-2168
(906) 228-9699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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