ADAM CHADDERDON NPI 1508376062

NPI Information

NPI: 1508376062
Provider Name: ADAM CHADDERDON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1211 VINE ST STE 1110
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 212-7474
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Adam Chadderdon is an addiction (substance use disorder) counselor in West Des Moines, IA. Adam Chadderdon NPI is 1508376062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1211 VINE ST STE 1110
WEST DES MOINES, IA
ZIP 50265-478
Phone: (515) 212-7474

The enumeration date for this NPI number is 10/10/2017 and was last updated on 10/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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