Individual
MR. DONALD EUGENE SKRDLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CCDP
Contact information
Practice address
915 PIERCE ST, SIOUX CITY, IA 51101-1031
(712) 277-0809
(712) 255-1120
Mailing address
915 PIERCE ST, SIOUX CITY, IA 51101-1031
(712) 277-0809
(712) 255-1120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791665
—
IA
Enumeration date
09/21/2007
Last updated
09/21/2007
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