Individual
THERESA R ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, IADC
Contact information
Practice address
1619 S HIGH AVE, AMES, IA 50010-8055
(515) 232-3206
Mailing address
521 6TH ST, MAXWELL, IA 50161-7711
(515) 460-2375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22175
IA
101YM0800X
Mental Health Counselor
Primary
119205
IA
Other
Enumeration date
04/03/2023
Last updated
08/11/2025
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