Individual
CODY SOULINTHAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12247 STRATFORD DR, CLIVE, IA 50325-8147
(515) 250-9811
Mailing address
3209 SE 4TH CT, DES MOINES, IA 50315-2814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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