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General NPI Number Information
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NPI Number | 1407388101
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Entity Type | Individual
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Provider Name | CHRISTINE RIES LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 2111 GREENE ST UNIT 11
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City | ADEL
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State | IA
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Zip | 50003-1646
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Country | US
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Telephone | 641-745-9664
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 GREENE ST UNIT 11
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City | ADEL
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State | IA
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Zip | 50003-1646
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Country | US
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Telephone | 641-745-9664
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Fax | 641-484-9477
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 113622
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 113622
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113622
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16054
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License Number State | IA
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