Individual
MELISSA A KLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(800) 482-8305
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(800) 482-8305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10017
IA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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