Doctor Name: | KATHRYN A AMUNDSON |
NPI Number: | 1013137728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LISCW |
License Number: | 5852 |
Business Practice Address: | 855 Mankato Ave Winona, MN - 559874868 |
Business Phone Number: | 5074543650 |
Business Fax Number: | |
Mailing Address: | 67807 154th Ave, WABASHA |
State: | MN |
Postal Code: | 559817626 |
Phone Number: | 6515653960 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |