Individual
MADELINE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 S HIGH AVE, AMES, IA 50010-8055
(515) 232-3206
Mailing address
1619 S HIGH AVE, AMES, IA 50010-8055
(515) 232-3206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T20015
IA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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