Self Discoveries Plc

NPI #1063193761 in Johnston, Iowa

Provider Information

NPI Number: 1063193761
Entity Type: Organization
Organization Name: Self Discoveries Plc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 26, 2023
Last Updated: Jul 26, 2023

Practice Location

Address: 6165 NW 86TH ST
City: Johnston
State: Iowa
ZIP Code: 50131-2270
Phone: (515) 978-1305

Authorized Official

Name: DEREK MICHAEL POTTHOFF, CSW
Title: PROVIDER/OWNER
Phone: (515) 978-1305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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