Individual provider · Type 1 NPI
Kathryn Konicek, LCSW
Mental Health Counselor · Canon City, CO
NPI number
1689265639
Active
Practice location
702 Pine Ave
Canon City, CO 81212-3139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1689265639
Kathryn Konicek, LCSW's National Provider Identifier is 1689265639, issued on Feb 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canon City, CO. The record was last updated on Feb 2, 2021.