Tracy May Delao, T-CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Le Mars, IA
NPI 1003564279 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1003564279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- T21116 (IA)
- Practice address
- 180 10TH St SE Ste 201
Le Mars, IA 51031-2557 - Phone
- (712) 546-4624
- Fax
- (712) 546-9395
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T21116 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T21116 | IA | Yes |
Addresses
Primary practice location
180 10TH St SE Ste 201
Le Mars, IA 51031-2557
Mailing address
180 10TH St SE Ste 201
Le Mars, IA 51031-2557
Phone (712) 546-4624
Other providers in Le Mars, IA
- Cheryl Ann Cronin
- April Cruz
- Stacie Daily
- Jessica Davis
- Tyler James Dejong
- Lindsey Denouden
- Rebecca Ann Deruyter
- Kelley Dickey Cuddy
- Daryl Erwin Doorenbos
- Hannah Marie Dreckman
All providers in Le Mars, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.