Individual
DAMON ALLEN BROMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
1550 6TH ST, MANNING, IA 51455-1004
(712) 655-8118
Mailing address
1550 6TH ST, MANNING, IA 51455-1004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T21106
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T21106
—
IA
Enumeration date
09/28/2021
Last updated
09/28/2021
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