Individual provider · Type 1 NPI
Tammy Avery, BA
Addiction (Substance Use Disorder) Counselor · Des Moines, IA
NPI number
1114335155
Active
Practice location
1409 Clark St
Des Moines, IA 50314
Mailing address
3523 50th St
Des Moines, IA 50310-2649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114335155
Tammy Avery, BA's National Provider Identifier is 1114335155, issued on Jul 22, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Des Moines, IA. The record was last updated on Jul 22, 2014.