| Derfus Counseling Services, Inc. | |
|
1221 Park Pl Ne Suite E3 Cedar Rapids IA 52402-2001 | |
| (319) 936-7008 | |
| (319) 363-0307 |
| Full Name | Derfus Counseling Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1221 Park Pl Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Richelle Derfus (OWNER) |
| Authorized Official Contact | 3199367008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Derfus Counseling Services, Inc. 1221 Park Pl Ne Suite E3 Cedar Rapids IA 52402-2001 Ph: (319) 936-7008 | Derfus Counseling Services, Inc. 1221 Park Pl Ne Suite E3 Cedar Rapids IA 52402-2001 Ph: (319) 936-7008 |
| NPI Number | 1639629082 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 7618257932 |
|---|---|
| Medicare Enrollment ID | O20161202001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639629082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007315 (Iowa) | Primary |
| Provider Name | Richelle L Derfus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215211974 PECOS PAC ID: 5799952446 Enrollment ID: I20120119000929 |
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