Individual
MS. CONNIE LYNN POPENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW, ACADC
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
905 MONTGOMERY ST, P.O. BOX 349, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09026
IA
1041C0700X
Clinical Social Worker
Primary
006928
IA
Other
Enumeration date
07/25/2007
Last updated
05/06/2010
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