Individual
SHEA EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 285-6781
Mailing address
506 NW 3RD STREET PL, GRIMES, IA 50111-2033
(515) 986-1315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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