Individual
BREANNA DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 S HIGH AVE, AMES, IA 50010-8055
(515) 232-3206
Mailing address
1619 S HIGH AVE, AMES, IA 50010-8055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T19028
IA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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