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NPI Code Detail

MEDICARE: CARA DANCE STILLE LMHC-T

MEDICARE:   CARA DANCE STILLE  LMHC-T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor121517IA

General Provider Information

NPI Number : 1689859613
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA DANCE STILLE LMHC-T
Provider Business Mailing Address
First Line : 1105 N ANKENY BLVD STE 100
Second Line :
City : ANKENY
State : IA
Zip : 50023-4003
Country : US
Telephone Number : 515-255-8399
Fax Number :
Provider Business Practice Location Address
First Line : 1105 N ANKENY BLVD STE 100
Second Line :
City : ANKENY
State : IA
Zip : 50023-4003
Country : US
Telephone Number : 515-255-8399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 08/10/2023

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Directions to “ CARA DANCE STILLE LMHC-T” Practice Location

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