Individual provider · Type 1 NPI

Julie Jenks Kettmann, M.ED.

Professional Counselor · Davenport, IA

NPI number 1629102280 Active

Practice location

2102 E 38th St
Davenport, IA 52807-1135

Call (563) 359-4049 Map

Mailing address

1392 Woolridge Dr
Coralville, IA 52241-3026

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X00996 (IA)
Professional Counselor 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1629102280

Julie Jenks Kettmann, M.ED.'s National Provider Identifier is 1629102280, issued on Mar 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Davenport, IA. The record was last updated on Jul 8, 2007.