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Organization
SM COUNSELING
Active
Organization
SM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA M KUTSCH (OWNER)
(563) 663-0670
Entity
Organization
Contact information
Practice address
2600 DODGE ST STE D4, DUBUQUE, IA 52003-7161
(708) 203-3820
Mailing address
2600 DODGE ST STE D4, DUBUQUE, IA 52003-7161
(563) 663-0670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
05/07/2024
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