| The Willow Group, P.c. | |
|
601 Willow Ave Council Bluffs IA 51501-4242 | |
| (712) 323-1728 | |
| (712) 323-8888 |
| Full Name | The Willow Group, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 601 Willow Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Gary Y Larsen (DIRECTOR) |
| Authorized Official Contact | 7123231728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willow Group, P.c. 601 Willow Ave Council Bluffs IA 51501-4242 Ph: (712) 323-1728 | The Willow Group, P.c. 601 Willow Ave Council Bluffs IA 51501-4242 Ph: (712) 323-1728 |
| NPI Number | 1528182896 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528182896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 116 (Iowa) | Primary |
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