Jamie Anderson, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sioux City, IA
NPI 1780045708 · NPPES record last updated Mar 18, 2016
Key facts
- NPI
- 1780045708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 12030 (IA)
- Practice address
- 800 5TH St
Sioux City, IA 51101-1317 - Phone
- (712) 234-2387
- Fax
- (712) 234-2399
- NPI assigned
- Mar 18, 2016
- 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 |
|---|---|---|---|
| 12030 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12030 | IA | Yes |
Addresses
Primary practice location
800 5TH St
Sioux City, IA 51101-1317
Mailing address
800 5TH St
Sioux City, IA 51101-1317
Phone (712) 234-2387
Other providers in Sioux City, IA
- August Anderson
- Courtney Anderson
- Crystal Anderson
- Emily Ranae Anderson
- James F Anderson
- Jordyn B Anderson
- Kim Anderson
- Morgan Faye Anderson
- Peter Jon Anderson
- Amir A Andrawis
All providers in Sioux City, 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 18, 2016. 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.