Individual
KASEY SYPOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, CADC
Contact information
Practice address
1003 GRAND AVE, WEST DES MOINES, IA 50265-3502
(515) 267-1003
(515) 267-0100
Mailing address
1003 GRAND AVE, WEST DES MOINES, IA 50265-3502
(515) 267-1003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14016
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
17106
IA
104100000X
Social Worker
Primary
090748
IA
Other
Enumeration date
05/16/2014
Last updated
11/30/2023
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