Provider Demographics
NPI:1992480644
Name:FOLKMANN, KATELYN ELIZABETH (T-LMHC)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:ELIZABETH
Last Name:FOLKMANN
Suffix:
Gender:F
Credentials:T-LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 71ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:IA
Mailing Address - Zip Code:52315-9645
Mailing Address - Country:US
Mailing Address - Phone:319-540-4671
Mailing Address - Fax:
Practice Address - Street 1:104 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-1301
Practice Address - Country:US
Practice Address - Phone:319-693-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120157101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health