Katie J Dodge
Katie J Dodge is a Mental Health Counselor in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
242 E 7th N Ste 4Rexburg, ID 83440-3550
Phone: (208) 359-9683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Counselor (primary) | Taxonomy 101YS0200X · Licence COUL-9249 (ID) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence COUL-9249 (ID) |
Record details
| NPI number | 1750095600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 5, 2023 |
| Last updated in NPPES | January 5, 2023 |
| Certification date | December 8, 2022 |
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