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Organization
EMPOWERING GROUNDS LLC
Active
Organization
EMPOWERING GROUNDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE FEVOLD (LMHC/OWNER)
(515) 576-9376
Entity
Organization
Contact information
Practice address
531 S 29TH ST STE 1, FORT DODGE, IA 50501-5503
(515) 576-9376
Mailing address
PO BOX 2400, WATERLOO, IA 50704-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/15/2020
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