| Driftless Counseling Llc | |
|
1111 Paine St Ste L Decorah IA 52101-2411 | |
| (319) 361-4248 | |
| Not Available |
| Full Name | Driftless Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1111 Paine St Ste L, Decorah, Iowa |
| Authorized Official Name and Position | Shannon Breitenstein (THERAPIST/OWNER) |
| Authorized Official Contact | 3193614248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driftless Counseling Llc 3920 Glass Rd Ne Apt B Cedar Rapids IA 52402-2508 Ph: (319) 361-4248 | Driftless Counseling Llc 1111 Paine St Ste L Decorah IA 52101-2411 Ph: (319) 361-4248 |
| NPI Number | 1407627839 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 09/29/2024 |
| Certification Date | 09/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407627839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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