Individual
JOHN FIKKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2611 WASHINGTON ST, PELLA, IA 50219-7924
(641) 628-9599
Mailing address
2611 WASHINGTON ST, PELLA, IA 50219-7924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
078220
IA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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