Individual
STEPHANIE QUINN DE ROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LMHC (T), MS
Contact information
Practice address
1500 2ND AVE SE, SUITE NUMBER 205, CEDAR RAPIDS, IA 52403-2368
(319) 739-5325
Mailing address
1500 2ND AVE SE, SUITE NUMBER 205, CEDAR RAPIDS, IA 52403-2368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
079136
IA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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