Individual
MISS TOVA RAYE HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
611 5TH AVE, DES MOINES, IA 50309-1610
(515) 537-2975
Mailing address
611 5TH AVE, DES MOINES, IA 50309-1610
(515) 537-2975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001477
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001477
IOWA BOARD OF PROFESSIONAL LICENSURE
IA
05
—
1140012
—
IA
Enumeration date
11/08/2018
Last updated
11/08/2018
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