Individual
JYOTHI SHIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLMFT
Contact information
Practice address
4403 1ST AVE SE STE 501, CEDAR RAPIDS, IA 52402-3222
(319) 214-0769
Mailing address
4403 1ST AVE SE STE 501, CEDAR RAPIDS, IA 52402-3222
(319) 214-0769
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
132198
IA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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