Individual
MRS. KATELYN ROSE KOTKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-4767
Mailing address
2424 LAKE COTTAGE CT, MENASHA, WI 54952-2500
(920) 832-5270
(920) 832-4767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
3758-226
WI
101YP2500X
Professional Counselor
Primary
7661-125
WI
Other
Enumeration date
03/21/2018
Last updated
12/11/2023
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