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Thomas Kullen
Peer Specialist in Waterloo, Iowa
NPI 1972365922

Thomas Kullen is a Peer Specialist based in Waterloo, IA. Thomas Kullen practices in Waterloo, IA. The NPI Number for Thomas Kullen is 1972365922 and holds a License No. (Iowa).

The current practice location address for Thomas Kullen is 405 E 5Th St, Waterloo, IA and can be reached out via phone at 338-370-0719 and via fax at 515-220-2272.

Location: 405 E 5Th St, Waterloo, IA, 50703-5705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972365922
Provider Name
Thomas Kullen
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E 5Th St, Waterloo, IA, 50703-5705
Phone Number
338-370-0719
Fax Number
515-220-2272
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 E 5Th St
City
Waterloo
State
Iowa
Zip
50703-5705
Phone Number
338-370-0719
Fax Number
515-220-2272
person
Provider Business Mailing Address Details
Address
405 E 5Th St
City
Waterloo
State
Iowa
Zip
50703-5705
Phone Number
338-370-0719
Fax Number
515-220-2272
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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