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NPI Code Detail

MEDICARE: KATELYN KOWALSKI

MEDICARE: KATELYN KOWALSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1457168403
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN KOWALSKI
Provider Business Mailing Address
First Line : 309 NEW INDIAN TRAIL CT
Second Line :
City : AURORA
State : IL
Zip : 60506-2411
Country : US
Telephone Number : 630-966-4000
Fax Number :
Provider Business Practice Location Address
First Line : 309 NEW INDIAN TRAIL CT
Second Line :
City : AURORA
State : IL
Zip : 60506-2411
Country : US
Telephone Number : 630-966-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2024
Last Update Date : 01/12/2026

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