Individual
MICHAEL DAVID STATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 288-1981
Mailing address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 288-1981
(312) 943-6530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
108844
IA
101YP2500X
Professional Counselor
178.014149
IL
Other
Enumeration date
09/30/2019
Last updated
09/13/2022
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