Individual
LOA VANHOUTEN-GREEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP/PLADC
Contact information
Practice address
608 WEST ST, TABOR, IA 51653-4065
(712) 313-0067
(402) 697-3924
Mailing address
608 WEST ST, TABOR, IA 51653-4065
(712) 313-0067
(402) 697-3924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1154
NE
101YM0800X
Mental Health Counselor
Primary
10311
NE
101YM0800X
Mental Health Counselor
8921
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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