| Coralville Counseling Center Llc | |
|
860 22nd Ave Ste 3 Coralville IA 52241-1687 | |
| (319) 330-7227 | |
| Not Available |
| Full Name | Coralville Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 860 22nd Ave Ste 3, Coralville, Iowa |
| Authorized Official Name and Position | Bobby Jo Salm (OWNER, CEO, THERAPIST) |
| Authorized Official Contact | 3193307227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coralville Counseling Center Llc 860 22nd Ave Ste 3 Coralville IA 52241-1687 Ph: (319) 330-7227 | Coralville Counseling Center Llc 860 22nd Ave Ste 3 Coralville IA 52241-1687 Ph: (319) 330-7227 |
| NPI Number | 1245088764 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245088764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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