Provider Demographics
NPI:1356406888
Name:TEGELER, NANCY KAY (CADC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KAY
Last Name:TEGELER
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-2058
Mailing Address - Country:US
Mailing Address - Phone:641-842-2813
Mailing Address - Fax:
Practice Address - Street 1:410 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-2058
Practice Address - Country:US
Practice Address - Phone:641-842-2813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)