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Organization
BREAKING ILLUSIONS COUNSELING LLC
Active
Organization
BREAKING ILLUSIONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY LYNN GRAY LMHC, OWNER (CLINICAL MENTAL HEALTH COUNSELOR)
(712) 260-3117
Entity
Organization
Contact information
Practice address
2230 33RD ST STE 8, SPIRIT LAKE, IA 51360-7632
(712) 260-3117
Mailing address
PO BOX 25, ARNOLDS PARK, IA 51331-0025
(712) 260-3117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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