Individual
KELLI A REUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(800) 482-8305
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(800) 482-8305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080239
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK
—
Enumeration date
06/26/2020
Last updated
06/26/2020
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