person
Kenneth Allen Hodem
Professional Counselor in Grand Forks, North Dakota
NPI 1770173817

Kenneth Allen Hodem is a Professional Counselor based in Grand Forks, ND and is specialized in Professional. Kenneth Allen Hodem practices in Grand Forks, ND. The NPI Number for Kenneth Allen Hodem is 1770173817 and holds a License No. 1109-2-15-21-556 (North Dakota).

The current practice location address for Kenneth Allen Hodem is 4700 S Washington St Ste G, Grand Forks, ND and can be reached out via phone at 701-205-3000.

Location: 4700 S Washington St Ste G, Grand Forks, ND, 58206-5210
person
Provider Profile Details
NPI Number
1770173817
Provider Name
Kenneth Allen Hodem
Credential
Provider Entity Type
Individual
Gender
Male
Address
4700 S Washington St Ste G, Grand Forks, ND, 58206-5210
Phone Number
701-205-3000
Fax Number
Provider Enumeration Date
01/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 S Washington St Ste G
City
State
Zip
58201-8155
Phone Number
701-205-3000
Fax Number
person
Provider Business Mailing Address Details
Address
4700 S Washington St Ste G
City
State
Zip
58201-8155
Phone Number
701-205-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1109-2-15-21-556 (North Dakota)
Definition
Definition to come...
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