# CORRIDOR COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1417478801
- **Authorized official:** MR. JOHN RYAN LEEFERS LMFT (THERAPIST/OWNER & SOLE MEMBER)
- **Authorized official phone:** (319) 270-0019

## Contact information

- **Practice address:** 4403 1ST AVE SE, CEDAR RAPIDS, IA 52402-3200
- **Practice address phone:** (319) 270-0019
- **Practice address fax:** (319) 294-7032
- **Mailing address:** PO BOX 1561, CEDAR RAPIDS, IA 52406-1561
- **Mailing address phone:** (319) 270-0019
- **Mailing address fax:** (319) 294-7032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | 000435 | IA | Yes |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 07/06/2017