Individual
MS. HEIDI ELIZABETH KAMMER HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
505 5TH ST STE 100, SIOUX CITY, IA 51101-1510
(712) 277-2007
(712) 277-2189
Mailing address
PO BOX 21306, COLUMBIA HEIGHTS, MN 55421-0306
(612) 804-3417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MN
1041C0700X
Clinical Social Worker
Primary
15203
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084261
IOWA DEPT OF PUBLIC HEALTH BUREAU OF PROFESSIONAL LICENSURE
IA
Enumeration date
01/08/2007
Last updated
09/05/2024
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