# INNOVATIVE COUNSELING & CONSULTING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275873499
- **Authorized official:** BYRON JARRETT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (515) 235-5224

## Contact information

- **Practice address:** 2340 EUCLID AVE, DES MOINES, IA 50310-5702
- **Practice address phone:** (515) 235-5224
- **Practice address fax:** (866) 672-0706
- **Mailing address:** 1063 14TH PL STE A, DES MOINES, IA 50314-1245
- **Mailing address phone:** (515) 235-5224
- **Mailing address fax:** (866) 672-0706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | IA | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | IA | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 01/22/2024