institution
Champion State Of Mind Pllc
Mental Health Counselor in Estherville, Iowa
NPI 1033578331

Champion State Of Mind Pllc is a Mental Health Counselor based in Estherville, IA and is specialized in Mental Health. Champion State Of Mind Pllc practices in Estherville, IA. The NPI Number for Champion State Of Mind Pllc is 1033578331 and holds a License No. 001653 (Iowa).

The current practice location address for Champion State Of Mind Pllc is 508 W Central Ave, Estherville, IA and can be reached out via phone at 800-592-0180 and via fax at 712-566-5229. You can also correspond with Champion State Of Mind Pllc through the mailing address at PO BOX 36, ESTHERVILLE, IA - 51334-0036 (mailing address contact number: 800-592-0180).

Location: 508 W Central Ave, Estherville, IA, 51334-0036
institution
Provider Profile Details
NPI Number
1033578331
Provider Name
Champion State Of Mind Pllc
Credential
Provider Entity Type
Organization
Address
508 W Central Ave, Estherville, IA, 51334-0036
Phone Number
800-592-0180
Fax Number
712-566-5229
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033578331 05 IA
institution
Provider Business Practice Location Address Details
Address
508 W Central Ave
City
State
Zip
51334-1834
Phone Number
800-592-0180
Fax Number
712-566-5229
person
Provider Business Mailing Address Details
Address
Po Box 36
City
State
Zip
51334-0036
Phone Number
800-592-0180
Fax Number
712-566-5229
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001653 (Iowa)
Definition
Definition to come...
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