Katie J Dodge

NPI #1750095600 in Rexburg, Idaho

Provider Information

NPI Number: 1750095600
Entity Type: Individual
Name: Katie J Dodge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - School
Enumeration Date: Jan 5, 2023
Last Updated: Jan 5, 2023

Practice Location

Address: 242 E 7TH N STE 4
City: Rexburg
State: Idaho
ZIP Code: 83440-3550
Phone: (208) 359-9683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - School — School	101YS0200X	Primary

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