Individual
SEAN MICHAEL OSTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3261 UNIVERSITY AVE, WATERLOO, IA 50701-2051
(800) 531-4236
(319) 483-6661
Mailing address
3261 UNIVERSITY AVE, WATERLOO, IA 50701-2051
(800) 531-4236
(319) 483-6661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
02/15/2023
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