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Individual

WILLIAM SHANE LOUNSBERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW, IADC

Contact information

Practice address
1985 NE 51ST PL, DES MOINES, IA 50313-2517
(515) 451-1072
Mailing address
1985 NE 51ST PL, DES MOINES, IA 50313-2517
(515) 451-1072

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11055
IA
104100000X
Social Worker
Primary
006858
IA

Other

Enumeration date
01/30/2012
Last updated
10/11/2024
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