Provider Demographics
NPI:1205527108
Name:HOOD, KATHERINE MARIE (BSW, CADC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARIE
Last Name:HOOD
Suffix:
Gender:F
Credentials:BSW, CADC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:MARIE
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW, CADC
Mailing Address - Street 1:1004 11TH AVE N
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:IA
Mailing Address - Zip Code:50548-1224
Mailing Address - Country:US
Mailing Address - Phone:515-890-7048
Mailing Address - Fax:515-573-3950
Practice Address - Street 1:826 1ST AVE N
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3997
Practice Address - Country:US
Practice Address - Phone:515-890-7048
Practice Address - Fax:515-573-3950
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20067101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty