Individual
MR. PETER WILLIAM SMILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
304 HIGHWAY 61 N, WAPELLO, IA 52653-1243
(319) 523-8436
Mailing address
304 HIGHWAY 61 N, WAPELLO, IA 52653-1243
(319) 523-8436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16088
IA
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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