Individual
KANDIS DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
(319) 390-4611
Mailing address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19021
IA
Other
Enumeration date
03/14/2019
Last updated
04/30/2019
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