Individual
KENDALL FATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2802 ORCHARD DR, CEDAR FALLS, IA 50613-5898
(319) 268-9700
(319) 268-1934
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00221
IA
Other
Enumeration date
10/26/2006
Last updated
07/13/2007
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