Individual provider · Type 1 NPI

Brenna A. Koedam, LMHC, IADC

Addiction (Substance Use Disorder) Counselor · Spencer, IA

NPI number 1437409281 Active

Practice location

201 E 11th St
Spencer, IA 51301-4436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X05041 (IA)
Mental Health Counselor 101YM0800X001530 (IA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437409281

Brenna A. Koedam, LMHC, IADC's National Provider Identifier is 1437409281, issued on Sep 19, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spencer, IA. The record was last updated on Sep 19, 2012.