Individual
KATRINA G WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
1955 W BROADWAY, MONONA, WI 53713-3700
(608) 405-3002
Mailing address
1955 W BROADWAY, MONONA, WI 53713-3700
(608) 405-3002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7518-226
WI
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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