Provider Demographics
NPI:1467871681
Name:KOESTNER-REES, DEBORAH (LISW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:KOESTNER-REES
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-0430
Mailing Address - Country:US
Mailing Address - Phone:515-832-9400
Mailing Address - Fax:515-832-9420
Practice Address - Street 1:119 AVENUE O W
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-5634
Practice Address - Country:US
Practice Address - Phone:515-955-9200
Practice Address - Fax:515-955-9201
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA021761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical