Katherine Kunz
Counselor, Professional in Waukesha, WI. Individual provider (NPI-1).
NPI number1114658564
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1114658564
- Entity type
- Individual (NPI-1)
- Name
- Katherine Kunz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2022
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10770-125 | WI | Yes |
| 101Y00000X | Counselor | 5336-226 | WI |
Practice location
2607 N Grandview Blvd Ste 110Waukesha, WI 53188-1690
Phone 262-313-8339 · Fax 262-910-1653
Mailing address
N64w38122 Lac Labelle DrOconomowoc, WI 53066
Phone 262-490-5812
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