Individual
MRS. DIANE REBECCA HINDERAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
712 BURNETT AVE, AMES, IA 50010-6128
(515) 233-5048
(515) 663-4909
Mailing address
712 BURNETT AVE, AMES, IA 50010-6128
(515) 233-5048
(515) 663-4909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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