Individual
TERRY DALE PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
3451 EASTON BLVD, DES MOINES, IA 50317-3214
(515) 262-0349
(515) 266-6808
Mailing address
3451 EASTON BLVD, DES MOINES, IA 50317-3214
(515) 262-0349
(515) 266-6808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08050
IA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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