Individual
DEANN R. KULTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
1522 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-0510
(319) 524-0609
Mailing address
1522 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-0510
(319) 524-0609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109
IA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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