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Organization
CHAMPION STATE OF MIND PLLC
Active
Organization
CHAMPION STATE OF MIND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA OLSON LMHC, NCC (OWNER)
(800) 592-0180
Entity
Organization
Contact information
Practice address
508 W CENTRAL AVE, STE B, ESTHERVILLE, IA 51334-1834
(800) 592-0180
(712) 566-5229
Mailing address
PO BOX 36, ESTHERVILLE, IA 51334-0036
(800) 592-0180
(712) 566-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001653
IA
Other
Enumeration date
02/15/2016
Last updated
09/11/2018
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