Individual
MISS TRACI MARIE VOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 574-6156
(515) 576-7728
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 574-6156
(515) 576-7728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18055
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015968
—
IA
Enumeration date
07/20/2022
Last updated
07/20/2022
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