Individual
BEKKI JANE KLODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
PO BOX 1117, OTTUMWA, IA 52501-7117
(641) 243-5952
Mailing address
PO BOX 1117, OTTUMWA, IA 52501-7117
(641) 243-5952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15435410
CAQH
IA
Enumeration date
11/04/2021
Last updated
06/19/2024
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