Individual
TAMMY AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314
(515) 643-6500
Mailing address
3523 50TH ST, DES MOINES, IA 50310-2649
(515) 770-7232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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