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Individual

KRISTIN KAY SUMINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, LPC

Contact information

Practice address
1626 MORGAN ST STE 4, KEOKUK, IA 52632-3424
(319) 249-5777
Mailing address
1626 MORGAN ST STE 4, KEOKUK, IA 52632-3424
(319) 249-5777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00839
IA
101YP2500X
Professional Counselor
Primary
178005136
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107314000
IOWA PLAN
IA
Enumeration date
11/22/2006
Last updated
01/28/2019
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