Organization · Type 2 NPI

Kanesville Therapy LLC

Mental Health Counselor · Council Bluffs, IA

NPI number 1760668768 Active

Practice location

35 Main Place, Suite 100 Omni Center Business Park
Council Bluffs, IA 51503

Call (712) 328-9205 Map

Mailing address

16 Locust Lodge
Council Bluffs, IA 51503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X00169 (IA)
Mental Health Counselor 101YM0800X1750 (NE)
Mental Health Counselor 101YM0800X376 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1760668768

Kanesville Therapy LLC's National Provider Identifier is 1760668768, issued on Jan 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Apr 28, 2008.