Individual provider · Type 1 NPI

Kathryn Dulay Wisniewski, BA

Mental Health Counselor · San Rafael, CA

NPI number 1619452471 Active

Practice location

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619452471

Kathryn Dulay Wisniewski, BA's National Provider Identifier is 1619452471, issued on Sep 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Feb 13, 2019.