Provider Demographics
NPI:1346458973
Name:ONKEN, JOELLEN KAYE
Entity Type:Individual
Prefix:MRS
First Name:JOELLEN
Middle Name:KAYE
Last Name:ONKEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JOELLEN
Other - Middle Name:KAYE
Other - Last Name:ONKEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NCC COUNSELOR
Mailing Address - Street 1:802 S MISSISSIPPI ST
Mailing Address - Street 2:
Mailing Address - City:BLUE GRASS
Mailing Address - State:IA
Mailing Address - Zip Code:52726-9548
Mailing Address - Country:US
Mailing Address - Phone:563-381-1455
Mailing Address - Fax:
Practice Address - Street 1:117 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-4020
Practice Address - Country:US
Practice Address - Phone:563-391-5288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health