Organization
PROGRESSIVE MENTAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARRAH MARIE HASSEBROEK NP (OWNER)
(712) 301-1102
Entity
Organization
Contact information
Practice address
505 5TH ST, SUITE 523, SIOUX CITY, IA 51101-1500
(712) 224-3523
Mailing address
505 5TH ST, SUITE 523, SIOUX CITY, IA 51101-1500
(712) 224-3523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
G-115089
IA
Other
Enumeration date
11/17/2014
Last updated
12/22/2014
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