Individual
STEPHEN D KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E 5TH ST, SPENCER, IA 51301-5011
(712) 262-2922
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4460
(712) 262-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
091709
IA
106H00000X
Marriage & Family Therapist
Primary
085578
IA
Other
Enumeration date
03/06/2019
Last updated
06/05/2019
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