Individual
CALISTA ANN CONYAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 BENTON AVENUE, CORNING, IA 50841-5160
(712) 215-3479
Mailing address
1211 W SHERIDAN AVE, SHENANDOAH, IA 51601-1553
(712) 215-3479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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