| Integrative Counseling Practices | |
|
1728 Central Ave Ste 10 Fort Dodge IA 50501-4200 | |
| (712) 790-9318 | |
| (515) 598-8545 |
| Full Name | Integrative Counseling Practices |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1728 Central Ave Ste 10, Fort Dodge, Iowa |
| Authorized Official Name and Position | Gina Lea Stork (MEMBER) |
| Authorized Official Contact | 7127909318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Practices 3662 Garber Ave Lake City IA 51449-7554 Ph: (712) 790-9318 | Integrative Counseling Practices 1728 Central Ave Ste 10 Fort Dodge IA 50501-4200 Ph: (712) 790-9318 |
| NPI Number | 1376153106 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376153106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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