Individual
TINA LYNN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, MSED, CADC
Contact information
Practice address
209 W MAIN ST, ANAMOSA, IA 52205-1811
(319) 774-2045
(866) 496-4073
Mailing address
209 W MAIN ST, ANAMOSA, IA 52205-1811
(319) 774-2045
(866) 496-4073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17071
IA
104100000X
Social Worker
Primary
01330
IA
Other
Enumeration date
05/11/2017
Last updated
08/17/2021
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