Individual
DENISE STADTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 697-7939
(515) 288-9109
Mailing address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 697-7939
(515) 288-9109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
073903
IA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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