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Organization
CREATIVE LIVING CENTER, P.C.
Active
Organization
CREATIVE LIVING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYTON J. VOGEL ED.D. (CHIEF FINANCIAL OFFICER)
(712) 476-5245
Entity
Organization
Contact information
Practice address
1905 10TH ST, ROCK VALLEY, IA 51247-1630
(712) 476-5245
(712) 476-9621
Mailing address
1905 10TH ST, ROCK VALLEY, IA 51247-1630
(712) 476-5245
(712) 476-9621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00226
IA
101Y00000X
Counselor
Primary
00865
IA
1041C0700X
Clinical Social Worker
06099
IA
106H00000X
Marriage & Family Therapist
00002
IA
106H00000X
Marriage & Family Therapist
00041
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451252
—
IA
01
—
37804
GROUP BLUE CROSS
IA
Enumeration date
07/05/2006
Last updated
09/11/2025
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