Individual
MRS. RUTH ANN VANDENTOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
117 N BUXTON ST, INDIANOLA, IA 50125-2412
(515) 962-5561
Mailing address
117 N BUXTON ST, INDIANOLA, IA 50125-2412
(515) 962-5561
(844) 588-5937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001149
IA
101YM0800X
Mental Health Counselor
Primary
001149
IA
101YP2500X
Professional Counselor
0015390
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001149
STATE OF IOWA LICENSE NUMBER
IA
Enumeration date
07/01/2009
Last updated
12/20/2024
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