Most Relevant Information
Provider Data
| NPI Number: | 1003214172 |
| Provider Name: | KATHERINE COUSIN M.A., LPC, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2014 |
| Last Updated: | 10/08/2023 |
Provider Practice Location
2935 S FISH HATCHERY RD STE 334
FITCHBURG
WI
537116434
Practice Location Phone/Fax
| Phone: | 6084696271 |
| Fax: |
Provider Mailing Location
2935 S FISH HATCHERY RD STE 334
FITCHBURG
WI
537116434
Provider Mailing Phone/Fax
| Phone: | 6084696271 |
| Fax: |