Tammy Avery, BA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Des Moines, IA

NPI 1114335155 · NPPES record last updated Jul 22, 2014

Key facts

NPI
1114335155
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1409 Clark St
Des Moines, IA 50314
Phone
(515) 643-6500
NPI assigned
Jul 22, 2014
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1409 Clark St
Des Moines, IA 50314

Mailing address

3523 50TH St
Des Moines, IA 50310-2649
Phone (515) 770-7232

Other providers in Des Moines, IA

All providers in Des Moines, IA · Addiction (Substance Use Disorder) Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.