Individual provider · Type 1 NPI

Katie Ann Lytle

Mental Health Counselor · Cottage Grove, OR

NPI number 1447721006 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424-1416

Mailing address

PO Box 5
Cottage Grove, OR 97424-0001

Other practice locations

  • 75 S 5th St, Cottage Grove, OR 97424-2008 · (541) 767-4260

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447721006

Katie Ann Lytle's National Provider Identifier is 1447721006, issued on Dec 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Jun 18, 2019.