Individual
GERARDO SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
(319) 390-4611
Mailing address
424 6TH AVE APT 210, CORALVILLE, IA 52241-2356
(956) 290-1785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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