Kai Lani Center For Creative Transformation And Psychotherapy | |
2603 Northridge Pkwy Ste 103 Ames IA 50010-4046 | |
(515) 338-2929 | |
(515) 337-8863 |
Full Name | Kai Lani Center For Creative Transformation And Psychotherapy |
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Speciality | Social Worker |
Location | 2603 Northridge Pkwy Ste 103, Ames, Iowa |
Authorized Official Name and Position | Jocelyn A Wilson (OWNER) |
Authorized Official Contact | 5153382929 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kai Lani Center For Creative Transformation And Psychotherapy 2603 Northridge Pkwy Ste 103 Ames IA 50010-4046 Ph: (515) 338-2929 | Kai Lani Center For Creative Transformation And Psychotherapy 2603 Northridge Pkwy Ste 103 Ames IA 50010-4046 Ph: (515) 338-2929 |
NPI Number | 1326553009 |
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Provider Enumeration Date | 12/04/2017 |
Last Update Date | 03/04/2024 |
Certification Date | 03/04/2024 |
Medicare PECOS PAC ID | 4688019409 |
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Medicare Enrollment ID | O20240301002768 |
Identifier | Type | State | Issuer |
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1326553009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 008284 (Iowa) | Primary |
Provider Name | Jocelyn A Wilson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265786974 PECOS PAC ID: 1153564356 Enrollment ID: I20130906000212 |
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