Individual
MR. DANIEL PLEDGEJOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 5TH AVE SE STE 1200, CEDAR RAPIDS, IA 52403-2428
(319) 529-1543
(833) 667-0184
Mailing address
1143 LONGFELLOW AVE, WATERLOO, IA 50703-1720
(319) 529-1543
(833) 667-0184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568058410
—
IA
Enumeration date
04/15/2021
Last updated
04/15/2021
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