Individual
SIMON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
449 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
(319) 337-4204
Mailing address
2005 ASBURY RD, DUBUQUE, IA 52001-3042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04916
IA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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