Individual
ALICIA DEANE MELDREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1506 31ST AVE N, FORT DODGE, IA 50501-7274
(515) 576-7261
Mailing address
1506 31ST AVE N, FORT DODGE, IA 50501-7274
(515) 576-7261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18006
IA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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