| Cedar Vista Counseling, Llc | |
|
1231 Park Pl Ne Ste L1 Cedar Rapids IA 52402-2013 | |
| (319) 521-7903 | |
| Not Available |
| Full Name | Cedar Vista Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1231 Park Pl Ne Ste L1, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Amy Jackson (LICENSED INDEPENDENT SOCIAL WORKER) |
| Authorized Official Contact | 3195217903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Vista Counseling, Llc Po Box 377 Walford IA 52351-0377 Ph: (319) 521-7903 | Cedar Vista Counseling, Llc 1231 Park Pl Ne Ste L1 Cedar Rapids IA 52402-2013 Ph: (319) 521-7903 |
| NPI Number | 1780281444 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Certification Date | 09/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780281444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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