Individual
ALYCE E ROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 W BROADWAY, COUNCIL BLUFFS, IA 51501-3814
(712) 215-6588
(712) 322-9585
Mailing address
1750 W BROADWAY, COUNCIL BLUFFS, IA 51501-3814
(712) 215-6588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
03/28/2024
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