Most Relevant Information
Provider Data
| NPI Number: | 1003640699 |
| Provider Name: | KAMRYN COULTER LCSW-I, LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | IC-2520 |
Most Important Dates
| Enumeration Date: | 08/27/2024 |
| Last Updated: | 10/09/2024 |
Provider Practice Location
119 E LONG ST
CARSON CITY
NV
897062505
Practice Location Phone/Fax
| Phone: | 7754610025 |
| Fax: |
Provider Mailing Location
119 E LONG ST
CARSON CITY
NV
897062505
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |