All Medicaid billing entities listing KOTVAL, TRACY (DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $25K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BEHAVIORAL WELLNESS COUNSELING CLINIC, LLC | PRIOR LAKE, MN | Professional Counselor | $25K |