Individual
CAITLYN O'CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
(515) 261-2402
Mailing address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
(515) 261-2402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1407452121
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/08/2020
Last updated
12/21/2023
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