| Lacock Counseling Llc | |
|
4403 1st Ave Se Ste 502 Cedar Rapids IA 52402-3221 | |
| (319) 521-2813 | |
| (319) 366-1116 |
| Full Name | Lacock Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4403 1st Ave Se Ste 502, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Debra Lacock (OWNER/LISW) |
| Authorized Official Contact | 3195212813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacock Counseling Llc 4403 1st Ave Se Ste 502 Cedar Rapids IA 52402-3221 Ph: () - | Lacock Counseling Llc 4403 1st Ave Se Ste 502 Cedar Rapids IA 52402-3221 Ph: (319) 521-2813 |
| NPI Number | 1225502081 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225502081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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