| Cornsilk - Joan Iwen Counseling Llc | |
|
110 N 37th St Ste 301 Norfolk NE 68701-3283 | |
| (402) 649-4936 | |
| Not Available |
| Full Name | Cornsilk - Joan Iwen Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 N 37th St Ste 301, Norfolk, Nebraska |
| Authorized Official Name and Position | Joan M Iwen (LICENSED MENTAL HEALTH PRACTITIONER) |
| Authorized Official Contact | 4026494936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornsilk - Joan Iwen Counseling Llc 110 N 37th St Ste 301 Norfolk NE 68701-3283 Ph: (402) 649-4936 | Cornsilk - Joan Iwen Counseling Llc 110 N 37th St Ste 301 Norfolk NE 68701-3283 Ph: (402) 649-4936 |
| NPI Number | 1821711284 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Medicare PECOS PAC ID | 2769833581 |
|---|---|
| Medicare Enrollment ID | O20240105002276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821711284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joan Marie Iwen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700394798 PECOS PAC ID: 4587015300 Enrollment ID: I20240105002409 |
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