Individual
ADAM CHADDERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 VINE ST STE 1110, WEST DES MOINES, IA 50265-4478
(515) 212-7474
Mailing address
1211 VINE ST STE 1110, WEST DES MOINES, IA 50265-4478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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