Provider Demographics
NPI:1598076234
Name:YODER, KRISTIE MARGARET (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:MARGARET
Last Name:YODER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMANA
Mailing Address - State:IA
Mailing Address - Zip Code:52203-8229
Mailing Address - Country:US
Mailing Address - Phone:319-622-3231
Mailing Address - Fax:139-622-3077
Practice Address - Street 1:505 39TH AVE
Practice Address - Street 2:
Practice Address - City:AMANA
Practice Address - State:IA
Practice Address - Zip Code:52203-8229
Practice Address - Country:US
Practice Address - Phone:319-622-3231
Practice Address - Fax:139-622-3077
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health