Individual
DEVON CADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2372
(712) 234-2399
Mailing address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2372
(712) 234-2399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T17075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055012
—
IA
Enumeration date
05/23/2017
Last updated
07/21/2022
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