Individual
STEPHANIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CADC
Contact information
Practice address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
(319) 390-4611
(319) 390-4381
Mailing address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
(319) 390-4611
(319) 390-4381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99045
IA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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