Individual
MRS. JILL ANN NOTHDORF-GISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, CDAC
Contact information
Practice address
250 20TH AVE N STE 250, CLINTON, IA 52732-2506
(563) 243-2124
(563) 243-2190
Mailing address
250 20TH AVE N STE 250, CLINTON, IA 52732-2506
(563) 243-2124
(563) 243-2190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07065
IA
104100000X
Social Worker
02803
IA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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