Provider Information for 1043540974
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CATHERINE R KOLLETH LPCC-S, LMFT
Sex: Female
NPI: 1043540974
Last Updated: 2020-02-06
Certification Date: 2020-02-06
Certification Date: 2020-02-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043540974 | ||||||||||||
| Enumeration Date | 2009-12-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 246 NORTHLAND DR MEDINA, OH 44256-3441 United States Phone: 330-725-9195 | Fax:330-725-9187 | ||||||||||||
| Primary Practice Address | 246 NORTHLAND DR MEDINA, OH 44256-3441 United States Phone: 330-725-9195 | Fax: | ||||||||||||
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