Counseling And Support Services Inc | |
705 Douglas St 524 Sioux City IA 51101-1048 | |
(712) 224-2774 | |
(712) 224-2775 |
Full Name | Counseling And Support Services Inc |
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Speciality | Social Worker |
Location | 705 Douglas St, Sioux City, Iowa |
Authorized Official Name and Position | Tonya Michelle Meier (PRESIDENT) |
Authorized Official Contact | 7122242774 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Counseling And Support Services Inc 705 Douglas St 524 Sioux City IA 51101-1048 Ph: (712) 224-2774 | Counseling And Support Services Inc 705 Douglas St 524 Sioux City IA 51101-1048 Ph: (712) 224-2774 |
NPI Number | 1902108285 |
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Provider Enumeration Date | 11/19/2010 |
Last Update Date | 11/19/2010 |
Medicare PECOS PAC ID | 5496931610 |
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Medicare Enrollment ID | O20110523000707 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902108285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 03843 (Iowa) | Primary |
Provider Name | Tonya M Meier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538388194 PECOS PAC ID: 3274719406 Enrollment ID: I20110523000770 |
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