Individual
DONNA PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 EASTON BLVD, DES MOINES, IA 50317-3214
(515) 262-0349
Mailing address
508 E WATROUS AVE, DES MOINES, IA 50315-3753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T22126
IA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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