Individual
SUSAN RENEE TRIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 LOWER BEAVER RD, DES MOINES, IA 50310-4708
(515) 279-0111
Mailing address
1844 310TH ST, ORIENT, IA 50858-8017
(641) 745-0002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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