Provider Demographics
NPI:1477917185
Name:JOHNSON-PALOMARES, LAURA M (BA, TCADC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:M
Last Name:JOHNSON-PALOMARES
Suffix:
Gender:F
Credentials:BA, TCADC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:VOIGT - MAIDEN NAME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 5TH AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309
Mailing Address - Country:US
Mailing Address - Phone:515-243-4200
Mailing Address - Fax:515-284-5201
Practice Address - Street 1:505 5TH AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309
Practice Address - Country:US
Practice Address - Phone:515-243-4200
Practice Address - Fax:515-284-5201
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)