| Become Pllc | |
|
120 S Main St Maquoketa IA 52060-3034 | |
| (563) 249-8007 | |
| Not Available |
| Full Name | Become Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 S Main St, Maquoketa, Iowa |
| Authorized Official Name and Position | Courtney Hickson (MEMBER) |
| Authorized Official Contact | 5632498007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Become Pllc 120 S Main St Maquoketa IA 52060-3034 Ph: (563) 249-8007 | Become Pllc 120 S Main St Maquoketa IA 52060-3034 Ph: (563) 249-8007 |
| NPI Number | 1952109910 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952109910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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