Individual
MRS. KATIE VANDER ZWAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LMHC, RPT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC7392
SD
101YM0800X
Mental Health Counselor
LPC7392
SD
101YP2500X
Professional Counselor
Primary
LPC7392
SD
101YS0200X
School Counselor
LPC7392
SD
Other
Enumeration date
01/26/2017
Last updated
08/04/2022
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