Individual
THEA M BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4056 GLASS RD NE, CEDAR RAPIDS, IA 52402-2509
(563) 419-3969
Mailing address
4056 GLASS RD NE, CEDAR RAPIDS, IA 52402-2509
(319) 775-0727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
078908
IA
Other
Enumeration date
10/20/2015
Last updated
04/28/2026
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