Individual
KIM CHARLES HARBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2434 O AVE NW, CEDAR RAPIDS, IA 52405-1435
(319) 213-2584
Mailing address
2434 O AVE NW, CEDAR RAPIDS, IA 52405-1435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05008
IA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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