Individual
STACIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 5TH AVE SE, SIOUX CENTER, IA 51250-2914
(712) 722-4028
Mailing address
1484 5TH AVE SE, SIOUX CENTER, IA 51250-2914
(712) 722-4028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T24028
IA
101YM0800X
Mental Health Counselor
Primary
124842
IA
Other
Enumeration date
05/28/2024
Last updated
05/30/2024
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