Bethany Canny, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ottumwa, IA
NPI 1477043099 · NPPES record last updated May 18, 2018
Key facts
- NPI
- 1477043099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 18022 (IA)
- Practice address
- 310 W. Main St
Ottumwa, IA 52501 - Phone
- (641) 683-6747
- Fax
- (641) 683-6317
- NPI assigned
- May 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 18022 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Community Services, Inc. | Past | Accepting new patients | |
| Southern Iowa Economic Development Assoc | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18022 | IA | Yes |
Addresses
Primary practice location
310 W. Main St
Ottumwa, IA 52501
Mailing address
PO Box 658
Ottumwa, IA 52501
Phone (641) 683-6747
Other names
- Bethany Roush
Other providers in Ottumwa, IA
- David Ira Bunce
- Susan Burgdorf
- David Lee Burrows
- Kimberly Sue Burton
- Robert Ian Campbell Jr.
- Jonathan Ellsworth Cardon
- Care Initiatives
- Carlenrose Corporation
- Tiffany Jo Carriker
- Angella Sue Cartwright
All providers in Ottumwa, 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 May 18, 2018. 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.