Individual
SAMANTHA IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 287-9600
Mailing address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 287-9600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133280
IA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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