Individual
KATHLEEN L HARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6705 WESNER RD, VERONA, WI 53593-9178
(608) 620-3486
Mailing address
409 N MECHANIC ST, ALBANY, WI 53502-9526
(608) 436-0506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7038-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376913129
TYPE 2
WI
Enumeration date
03/28/2019
Last updated
03/28/2019
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