Individual
ANNE TAETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
(563) 327-0178
(563) 324-2437
Mailing address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
(563) 327-0178
(563) 324-2437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00784
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932178183
—
IA
Enumeration date
02/10/2014
Last updated
02/10/2014
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