Individual
KAITLYN KRISTINE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6165 NW 86TH ST, JOHNSTON, IA 50131-2270
(515) 367-0675
Mailing address
240 ROUTE 148, KILLINGWORTH, CT 06419-2305
(641) 590-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
088396
IA
Other
Enumeration date
09/20/2017
Last updated
09/13/2023
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