Katherine E Agre, MS, LCGC

Individual provider Active NPI Genetic Counselor (M.S.) · Rochester, MN

NPI 1760002844 · NPPES record last updated Apr 26, 2021

Key facts

NPI
1760002844
Entity type
Individual (NPI type 1)
Primary specialty
Genetic Counselor (M.S.) 170300000X
License
1045 (MN)
Practice address
200 1St St SW
Rochester, MN 55905-0002
Phone
(507) 284-2511
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1045MNMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 1045 MN Yes

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0002

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other providers in Rochester, MN

All providers in Rochester, MN · Genetic Counselor (M.S.) in Minnesota

Sources for this page

Verify at the official NPI Registry.