| Siouxland Counseling Services, Pllc | |
|
409 11th St Sioux City IA 51105-1332 | |
| (712) 560-7045 | |
| (712) 454-5951 |
| Full Name | Siouxland Counseling Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 409 11th St, Sioux City, Iowa |
| Authorized Official Name and Position | Diana Castro-moctezuma (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7125607045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siouxland Counseling Services, Pllc 409 11th St Sioux City IA 51105-1332 Ph: (712) 560-7045 | Siouxland Counseling Services, Pllc 409 11th St Sioux City IA 51105-1332 Ph: (712) 560-7045 |
| NPI Number | 1437859659 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437859659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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