Individual
BRADLEY A ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
917 W 21ST ST, SOUTH SIOUX CITY, NE 68776
(402) 494-3337
Mailing address
800 5TH ST STE 200, SIOUX CITY, IA 51101-1324
(712) 234-2311
(712) 234-2392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
890
NE
101YM0800X
Mental Health Counselor
Primary
075768
IA
Other
Enumeration date
03/27/2013
Last updated
06/11/2018
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