Provider Demographics
NPI:1790213916
Name:BROWNFIELD, ANGELA DAWN (IADC, CAC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DAWN
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:IADC, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:51250-1226
Mailing Address - Country:US
Mailing Address - Phone:712-574-4754
Mailing Address - Fax:
Practice Address - Street 1:118 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:SHELDON
Practice Address - State:IA
Practice Address - Zip Code:51201-1039
Practice Address - Country:US
Practice Address - Phone:712-363-0343
Practice Address - Fax:712-264-9302
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD11091483101YA0400X
IA17R085101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)