Individual
MRS. KRISTA MARIE LINDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6150 VILLAGE VIEW DR STE 102, WEST DES MOINES, IA 50266-5889
(515) 327-7036
(515) 875-4895
Mailing address
6150 VILLAGE VIEW DR STE 102, WEST DES MOINES, IA 50266-5889
(515) 327-7036
(515) 875-4895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11096
IA
1041C0700X
Clinical Social Worker
Primary
06426
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223957
—
IA
Enumeration date
03/15/2016
Last updated
07/16/2020
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