Katrin Lynn Koutassevitch
Katrin Lynn Koutassevitch is a Clinical Social Worker in Pasadena, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
690 E Green St Ste 204Pasadena, CA 91101-2197
Phone: (626) 795-1519
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 71905 (CA) |
|---|
Record details
| NPI number | 1548759269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2018 |
| Last updated in NPPES | December 7, 2020 |
| Certification date | December 7, 2020 |
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