State, Michael David

State, Michael David is an individual health care provider with primary practice located at 1111 University Ave , Des Moines IA 50314-2329. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. State, Michael David can be contacted via phone (515) 288-1981.

Contact Information

Primary practice address
1111 University Ave Des Moines IA 50314-2329
Phone: (515) 288-1981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.014149 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 108844 Iowa

Profile Details

NPI number 1992346019
LBN Legal business name State, Michael David
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Sep 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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