Individual
SAMANTHA GAIL THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
703 16TH ST, SPIRIT LAKE, IA 51360-1623
(800) 592-0180
(712) 566-5229
Mailing address
PO BOX 36, ESTHERVILLE, IA 51334-0036
(800) 592-0180
(712) 566-5229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21R022
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
303106
MN
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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