Provider Demographics
NPI:1417479916
Name:KLOSTERMAN, AUBREY JANE (LMHC)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:JANE
Last Name:KLOSTERMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:JANE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TLMHC, NCC
Mailing Address - Street 1:1824 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2056
Mailing Address - Country:US
Mailing Address - Phone:319-277-0992
Mailing Address - Fax:319-277-5768
Practice Address - Street 1:1824 W 8TH ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2056
Practice Address - Country:US
Practice Address - Phone:319-277-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health