Individual
DENNIS MICHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
726 S 17TH ST, FORT DODGE, IA 50501-5344
(866) 801-0085
(515) 955-7652
Mailing address
726 S 17TH ST, FORT DODGE, IA 50501-5344
(866) 801-0085
(515) 955-7652
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16001
IA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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