| Potential Counseling & Consultation Services Llc | |
|
2800 Orchard Dr Ste B Cedar Falls IA 50613-5898 | |
| (319) 464-2389 | |
| (866) 375-8530 |
| Full Name | Potential Counseling & Consultation Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2800 Orchard Dr Ste B, Cedar Falls, Iowa |
| Authorized Official Name and Position | Jennifer Brost (OWNER, THERAPIST) |
| Authorized Official Contact | 3194642389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potential Counseling & Consultation Services Llc 320 Drynan Dr Waterloo IA 50701-1622 Ph: (319) 464-2389 | Potential Counseling & Consultation Services Llc 2800 Orchard Dr Ste B Cedar Falls IA 50613-5898 Ph: (319) 464-2389 |
| NPI Number | 1972119402 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 8628413929 |
|---|---|
| Medicare Enrollment ID | O20240227000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972119402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn Brost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821346099 PECOS PAC ID: 9537504832 Enrollment ID: I20240227000304 |
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