Individual
ABBEY OLDEROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
108991
IA
Other
Enumeration date
07/09/2021
Last updated
07/02/2024
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