Provider Demographics
NPI:1689890188
Name:CHMIELARZ, DEE R (LMSW)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:R
Last Name:CHMIELARZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 TALBOTT ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-2379
Mailing Address - Country:US
Mailing Address - Phone:641-648-6491
Mailing Address - Fax:641-648-7088
Practice Address - Street 1:520 TALBOTT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-2379
Practice Address - Country:US
Practice Address - Phone:641-648-6491
Practice Address - Fax:641-648-7088
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01964101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor