Provider Demographics
NPI:1114650025
Name:BADDING-FLEENER, DONNA M (BA, CADC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:BADDING-FLEENER
Suffix:
Gender:F
Credentials:BA, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-0427
Mailing Address - Country:US
Mailing Address - Phone:712-792-9266
Mailing Address - Fax:712-792-1457
Practice Address - Street 1:23751 HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-8505
Practice Address - Country:US
Practice Address - Phone:712-792-9266
Practice Address - Fax:712-792-1457
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16175101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)