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Mrs. Brenna A. Koedam, LMHC,IADC
Mental Health Counselor in Spencer, Iowa
NPI 1437409281

Brenna A. Koedam is a Mental Health Counselor based in Spencer, IA and is specialized in Mental Health. Brenna A. Koedam practices in Spencer, IA and has the professional credentials of LMHC,IADC. The NPI Number for Brenna A. Koedam is 1437409281 and holds a License No. 05041 (Iowa).

The current practice location address for Brenna A. Koedam is 201 E 11Th St, Spencer, IA and can be reached out via phone at 800-242-5101.

Location: 201 E 11Th St, Spencer, IA, 51301-4436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437409281
Provider Name
Brenna A. Koedam
Credential
LMHC,IADC
Provider Entity Type
Individual
Gender
Female
Address
201 E 11Th St, Spencer, IA, 51301-4436
Phone Number
800-242-5101
Fax Number
Provider Enumeration Date
09/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011650 05 IA
institution
Provider Business Practice Location Address Details
Address
201 E 11Th St
City
Spencer
State
Iowa
Zip
51301-4436
Phone Number
800-242-5101
Fax Number
person
Provider Business Mailing Address Details
Address
201 E 11Th St
City
Spencer
State
Iowa
Zip
51301-4436
Phone Number
800-242-5101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
001530 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
05041 (Iowa)
Definition
Definition to come...
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