Individual
RANDALL LEO KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
10061 CLARK ST, CLIVE, IA 50325-6751
(515) 267-0030
Mailing address
10061 CLARK ST, CLIVE, IA 50325-6751
(515) 267-0030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00754
IA
Other
Enumeration date
06/17/2009
Last updated
06/19/2009
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