Amy Ruth Allison

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

NPI 1790293181 · NPPES record last updated Jan 19, 2018

Key facts

NPI
1790293181
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1523 S. Fairmount St.
Davenport, IA 52802
Phone
(563) 322-2667
NPI assigned
Jan 19, 2018
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

Specialties & licenses

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

Addresses

Primary practice location

1523 S. Fairmount St.
Davenport, IA 52802

Mailing address

1523 S Fairmount St
Davenport, IA 52802-3644
Phone (563) 322-2667

Other providers in Davenport, IA

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

Sources for this page

Verify at the official NPI Registry.