Individual
ETTINAH RENEE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, TCADC
Contact information
Practice address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 550-0815
Mailing address
240 N BLUFF BLVD STE 206, CLINTON, IA 52732-7146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T22178
IA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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