# THE WILLOW GROUP, P.C.

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

## Provider details

- **NPI number:** 1528182896
- **Authorized official:** DR. GARY Y LARSEN PH.D. (DIRECTOR)
- **Authorized official phone:** (712) 323-1728

## Contact information

- **Practice address:** 601 WILLOW AVE, COUNCIL BLUFFS, IA 51501-4242
- **Practice address phone:** (712) 323-1728
- **Practice address fax:** (712) 323-8888
- **Mailing address:** 601 WILLOW AVE, COUNCIL BLUFFS, IA 51501-4242
- **Mailing address phone:** (712) 323-1728
- **Mailing address fax:** (712) 323-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 116 | IA | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020