Individual
MRS. SHEILA MARIE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
351 TERRACE VIEW DR, LITCHFIELD, MN 55355-2532
(320) 535-4127
Mailing address
351 TERRACE VIEW DR, LITCHFIELD, MN 55355
(320) 535-4127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301055
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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