Individual
KRISTIN SUE STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMHC
Contact information
Practice address
700 S DUBUQUE ST, IOWA CITY, IA 52240-4202
(319) 354-4552
Mailing address
1570 S 1ST AVE., STE F, IOWA CITY, IA 52240
(319) 354-4552
(319) 512-4131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00452
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544261000
—
IA
05
—
544261000IA
—
IA
Enumeration date
11/06/2006
Last updated
05/10/2010
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