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Organization
CORALVILLE COUNSELING CENTER LLC
Active
Organization
CORALVILLE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBY JO SALM LISW, RPT (OWNER, CEO, THERAPIST)
(319) 330-7227
Entity
Organization
Contact information
Practice address
860 22ND AVE STE 3, CORALVILLE, IA 52241-1687
(319) 330-7227
Mailing address
860 22ND AVE STE 3, CORALVILLE, IA 52241-1687
(319) 330-7227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/21/2024
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