Provider Demographics
NPI:1477073260
Name:MONNETT, KATE (MSE, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:MONNETT
Suffix:
Gender:F
Credentials:MSE, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 HICKORY CT
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-2581
Mailing Address - Country:US
Mailing Address - Phone:920-203-1818
Mailing Address - Fax:
Practice Address - Street 1:1936 ALGOMA BLVD # B
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-2104
Practice Address - Country:US
Practice Address - Phone:920-203-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5098101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional