Individual
TRACI BIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMHC
Contact information
Practice address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 364-1953
(866) 496-4073
Mailing address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 364-1953
(866) 496-4073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
098676
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-4372219
TAX ID
IA
05
—
600655541
—
IN
Enumeration date
02/26/2020
Last updated
11/27/2023
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