Individual
ALAYNA TERASA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, TCADC
Contact information
Practice address
119 S MAIN ST STE 2, MAQUOKETA, IA 52060-3000
(563) 652-2215
Mailing address
119 S MAIN ST STE 2, MAQUOKETA, IA 52060-3000
(563) 652-2215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T18030
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18030
—
IA
Enumeration date
07/30/2018
Last updated
07/30/2018
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