Jonathan J Vantuyl, CADC Valid NPI
Individual provider · Counselor · Sioux City, IA
- NPI
- 1487236543
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 20044 (IA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-04-27
- Last updated
- 2021-04-27
Practice location
1802 S Saint Aubin St Apt C
Sioux City, IA 51106-2503
(712) 535-4499