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Organization
ASCEND THERAPEUTIC AND WELLNESS SERVICES OF IOWA
Active
Organization
ASCEND THERAPEUTIC AND WELLNESS SERVICES OF IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE SELF LMHC (OWNER)
(319) 318-2250
Entity
Organization
Contact information
Practice address
729 PARK AVE, ACKLEY, IA 50601-1539
(319) 318-2250
Mailing address
809 GRAY ST, APLINGTON, IA 50604-1030
(319) 318-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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