Individual
DOUGLAS ANTHONY CHILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
T-LMHC
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1916
(515) 643-6500
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1916
(515) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
126960
IA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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