Individual
KATELYNNE ELIZABETH HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 570-8261
Mailing address
1106 MORTIMER AVE, CALLENDER, IA 50523-5035
(641) 340-0519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
114919
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
Enumeration date
09/19/2022
Last updated
09/19/2022
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