Individual
MEGAN ELIZABETH VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 S MAIN ST STE 2, MAQUOKETA, IA 52060
(563) 652-2215
(563) 652-4939
Mailing address
119 S MAIN ST STE 2, MAQUOKETA, IA 52060-3000
(563) 652-2215
(563) 652-4939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18050
IA
Other
Enumeration date
07/27/2018
Last updated
08/21/2018
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