| Renew Counseling Services, Llc | |
|
3356 Kimball Ave Suite 3 Waterloo IA 50702-5700 | |
| (319) 464-2940 | |
| Not Available |
| Full Name | Renew Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3356 Kimball Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Bruce Alan Gregory (OWNER) |
| Authorized Official Contact | 3194642940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling Services, Llc 3356 Kimball Ave Suite 3 Waterloo IA 50702-5700 Ph: (319) 464-2940 | Renew Counseling Services, Llc 3356 Kimball Ave Suite 3 Waterloo IA 50702-5700 Ph: (319) 464-2940 |
| NPI Number | 1760617138 |
|---|---|
| Provider Enumeration Date | 05/28/2009 |
| Last Update Date | 05/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760617138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00975 (Iowa) | Primary |
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