Individual
ANGELA DORNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, LMHC
Contact information
Practice address
104 N 27TH ST STE B, FORT DODGE, IA 50501-4322
(515) 890-1233
Mailing address
104 N 27TH ST STE B, FORT DODGE, IA 50501-4322
(515) 890-1233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
076943
IA
101YM0800X
Mental Health Counselor
Primary
976943
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BCBS
IA
Enumeration date
06/17/2015
Last updated
07/02/2025
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