Individual
KAYLA R NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3733 DEWEY ST, MANITOWOC, WI 54220-5844
(920) 663-1035
Mailing address
3733 DEWEY ST, MANITOWOC, WI 54220-5844
(920) 663-1035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21092-130
WI
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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