Individual
JODI LYNN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 AVENUE M W, FORT DODGE, IA 50501-5789
(712) 830-5902
Mailing address
211 AVENUE M W, FORT DODGE, IA 50501-5789
(515) 576-7261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25037
IA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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