Individual
KATHRYN L DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 236-1157
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
814-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814-124
STATE OF WISCONSIN
WI
Enumeration date
08/04/2009
Last updated
10/24/2023
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