Individual
MRS. PEG JEAN EPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CADC
Contact information
Practice address
3320 W 4TH ST, SIOUX CITY, IA 51103-3200
(712) 202-0777
(712) 202-0780
Mailing address
800 5TH ST, STE. 200, SIOUX CITY, IA 51101-1317
(712) 234-2300
(712) 234-2398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05204
IA
101YM0800X
Mental Health Counselor
Primary
001693
IA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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