| Cityreach Family Therapy | |
|
5801 Franklin Ave Des Moines IA 50322-6131 | |
| (515) 490-8870 | |
| Not Available |
| Full Name | Cityreach Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5801 Franklin Ave, Des Moines, Iowa |
| Authorized Official Name and Position | David C Kaptain (OWNER/PROVIDER) |
| Authorized Official Contact | 5152772489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cityreach Family Therapy 6202 Silver Birch Ct Johnston IA 50131-7601 Ph: (515) 490-8870 | Cityreach Family Therapy 5801 Franklin Ave Des Moines IA 50322-6131 Ph: (515) 490-8870 |
| NPI Number | 1821798687 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 4880030683 |
|---|---|
| Medicare Enrollment ID | O20240315000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821798687 | NPI | - | NPPES |
| Provider Name | David Charles Kaptain |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659557908 PECOS PAC ID: 5799121596 Enrollment ID: I20240315000794 |
| Provider Name | Leah Chon-lopez Wassenaar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013600329 PECOS PAC ID: 4789021627 Enrollment ID: I20240327001221 |
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