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NPI Code Detail

MEDICARE: PEYTON EMGARTEN CADC

MEDICARE: PEYTON EMGARTEN CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor25021IA

General Provider Information

NPI Number : 1831040187
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEYTON EMGARTEN CADC
Provider Business Mailing Address
First Line : 907 W 7TH ST STE 202
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2433
Country : US
Telephone Number :
Fax Number : 515-220-2272
Provider Business Practice Location Address
First Line : 405 E 5TH ST
Second Line :
City : WATERLOO
State : IA
Zip : 50703-5705
Country : US
Telephone Number : 833-370-0719
Fax Number : 515-220-2272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ PEYTON EMGARTEN CADC” Practice Location

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