Calista Ann Conyac
Counselor, Mental Health in Corning, IA. Individual provider (NPI-1).
NPI number1730786229
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1730786229
- Entity type
- Individual (NPI-1)
- Name
- Calista Ann Conyac
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2020
- Certification date
- Sep 23, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
908 Benton AvenueCorning, IA 50841-5160
Phone 712-215-3479
Mailing address
1211 W Sheridan AveShenandoah, IA 51601-1553
Phone 712-215-3479
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