Individual
ANDREW FROHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Mailing address
1004 SPRUCE ST, COUNCIL BLUFFS, IA 51501-5832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11144
IA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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