Individual
DESTANY KAY HIMSCHOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOMSW
Contact information
Practice address
5400 KIRKWOOD BLVD SW, CEDAR RAPIDS, IA 52404-5298
(319) 364-0259
Mailing address
5400 KIRKWOOD BLVD SW, CEDAR RAPIDS, IA 52404-5298
(319) 364-0259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
111276
IA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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