# CREATIVE COUNSELING GROUP, PLC

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

## Provider details

- **NPI number:** 1598274599
- **Authorized official:** JOAN DELUHERY-WAGEMESTER LMHC (CO-OWNER/PROVIDER)
- **Authorized official phone:** (319) 200-1022

## Contact information

- **Practice address:** 3801 RIVER RIDGE DR NE, CEDAR RAPIDS, IA 52402-7590
- **Practice address phone:** (319) 200-1022
- **Mailing address:** 3801 RIVER RIDGE DR NE, CEDAR RAPIDS, IA 52402-7590
- **Mailing address phone:** (319) 200-1022
- **Mailing address fax:** (319) 200-2062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2017
- **Last updated:** 10/10/2023