Individual
KELLY SINNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(800) 242-5101
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
088138
IA
Other
Enumeration date
05/18/2017
Last updated
07/31/2017
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