Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 13014 | IA |
NPI | 1003234634 |
---|---|
Provider Name | Lauri Auxier |
First Address | Des Moines, IA 50314-1964 |
Second Address | Des Moines, IA 50314-1964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 01/04/2014 |