Provider Demographics
NPI:1669876637
Name:HAUGE-STRUECKER, KATHRYN ANN (MS, TLMHC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:HAUGE-STRUECKER
Suffix:
Gender:F
Credentials:MS, TLMHC
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 377
Mailing Address - Street 2:50 BEECH STREET
Mailing Address - City:BURT
Mailing Address - State:IA
Mailing Address - Zip Code:50522
Mailing Address - Country:US
Mailing Address - Phone:515-341-6660
Mailing Address - Fax:
Practice Address - Street 1:503 BEECH ST
Practice Address - Street 2:
Practice Address - City:BURT
Practice Address - State:IA
Practice Address - Zip Code:50522-5033
Practice Address - Country:US
Practice Address - Phone:515-341-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA074698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health