person
Katie J Dodge
School Counselor in Rexburg, Idaho
NPI 1750095600

Katie J Dodge is a School Counselor based in Saint Anthony, ID and is specialized in School. Katie J Dodge practices in Rexburg, ID. The NPI Number for Katie J Dodge is 1750095600 and holds a License No. COUL-9249 (Idaho).

The current practice location address for Katie J Dodge is 242 E 7Th N Ste 4, Rexburg, ID and can be reached out via phone at 208-359-9683. You can also correspond with Katie J Dodge through the mailing address at 649 N 2650 E, SAINT ANTHONY, ID - 83445-5509 (mailing address contact number: 208-520-3204).

Location: 242 E 7Th N Ste 4, Rexburg, ID, 83445-5509
person
Provider Profile Details
NPI Number
1750095600
Provider Name
Katie J Dodge
Credential
Provider Entity Type
Individual
Gender
Female
Address
242 E 7Th N Ste 4, Rexburg, ID, 83445-5509
Phone Number
208-359-9683
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
242 E 7Th N Ste 4
City
State
Zip
83440-3550
Phone Number
208-359-9683
Fax Number
person
Provider Business Mailing Address Details
Address
242 E 7Th N Ste 4
City
State
Zip
83440-3550
Phone Number
208-359-9683
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
COUL-9249 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
COUL-9249 (Idaho)
Definition
Definition to come...
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