Individual
DIANE MARIE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LMHC, NCC
Contact information
Practice address
2435 KIMBERLY RD STE 205N, BETTENDORF, IA 52722-3521
(563) 484-0266
Mailing address
2435 KIMBERLY RD STE 205N, BETTENDORF, IA 52722-3521
(563) 484-0266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
096856
IA
101YP2500X
Professional Counselor
Primary
096856
IA
374J00000X
Doula
—
—
Other
Enumeration date
08/15/2019
Last updated
06/03/2024
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