| Integrated Counseling Practice | |
|
1221 Pierce St Sioux City IA 51105-1418 | |
| (712) 255-0232 | |
| (712) 255-0354 |
| Full Name | Integrated Counseling Practice |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1221 Pierce St, Sioux City, Iowa |
| Authorized Official Name and Position | Pamela Ingram (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7122550232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Practice 1221 Pierce St Sioux City IA 51105-1418 Ph: (712) 255-0232 | Integrated Counseling Practice 1221 Pierce St Sioux City IA 51105-1418 Ph: (712) 255-0232 |
| NPI Number | 1023214863 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 05/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023214863 | NPI | - | NPPES |
| 0791665 | Medicaid | IA | |
| 29-97-059 | Other | IA | RTSS CONTRACT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1284 (Iowa) | Primary |
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