Individual
MS. KATHERINE TERRAZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
1593 30TH CT, KENOSHA, WI 53144-3344
(847) 406-7050
Mailing address
1593 30TH CT, KENOSHA, WI 53144-3344
(847) 406-7050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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