Individual
MRS. ELEANOR ANGELINE SCHUPICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CADC
Contact information
Practice address
400 S BROADWAY ST, BURLINGTON, IA 52601-9407
(319) 752-4000
Mailing address
400 SOUTH BROADWAY, BURLINGTON, IA 52601-9407
(319) 752-4000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
94134
IA
101YM0800X
Mental Health Counselor
Primary
080309.
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94134
CERTIFIED ALCOHOL AND DRUG COUNSELOR
IA
Enumeration date
08/19/2011
Last updated
04/27/2016
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