Roots Substance Abuse Counseling Llc | |
201 Pierce St Ste 110 Sioux City IA 51101-1479 | |
(712) 522-2582 | |
(712) 522-2586 |
Full Name | Roots Substance Abuse Counseling Llc |
---|---|
Speciality | Counselor |
Location | 201 Pierce St Ste 110, Sioux City, Iowa |
Authorized Official Name and Position | Jonathan Vantuyl (OWNER) |
Authorized Official Contact | 7125222582 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roots Substance Abuse Counseling Llc 201 Pierce St Ste 110 Sioux City IA 51101-1479 Ph: (712) 522-2582 | Roots Substance Abuse Counseling Llc 201 Pierce St Ste 110 Sioux City IA 51101-1479 Ph: (712) 522-2582 |
NPI Number | 1831880426 |
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Provider Enumeration Date | 05/16/2023 |
Last Update Date | 05/16/2023 |
Certification Date | 05/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831880426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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