Individual
MS. CHANDA ELIZABETH PETERMANN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1003 GRAND AVENUE, WEST DES MOINES, IA 50265-3502
(515) 267-1003
(515) 267-0100
Mailing address
1003 GRAND AVENUE, WEST DES MOINES, IA 50265-3502
(515) 267-1003
(515) 267-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
354
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045898
MERIT BH
IA
05
—
1045898
—
IA
01
—
IA0119
JOHN DEERE HC
IA
Enumeration date
03/14/2006
Last updated
07/08/2007
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