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NPI Code Detail

MEDICARE: DAVID LOUIS SIEVERS LMHC

MEDICARE: DAVID LOUIS SIEVERS LMHC
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 Counselor232158IA

General Provider Information

NPI Number : 1467639401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LOUIS SIEVERS LMHC
Provider Business Mailing Address
First Line : 1320 19TH AVE NW
Second Line :
City : CLINTON
State : IA
Zip : 52732-2752
Country : US
Telephone Number : 563-243-5633
Fax Number : 563-243-9567
Provider Business Practice Location Address
First Line : 1320 19TH AVE NW
Second Line :
City : CLINTON
State : IA
Zip : 52732-2752
Country : US
Telephone Number : 563-243-5633
Fax Number : 563-243-9567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2008
Last Update Date : 04/14/2020

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Directions to “ DAVID LOUIS SIEVERS LMHC” Practice Location

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