Individual
TIFFANY QUAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 574-6138
(515) 573-7898
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 574-6138
(515) 573-7898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18009
IA
171M00000X
Case Manager/Care Coordinator
16046
IA
Other
Enumeration date
03/25/2016
Last updated
12/22/2020
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