Organization
BUILDING BRIDGES COUNSELING & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JEAN WAGNER LMHC (OWNER)
(712) 259-0851
Entity
Organization
Contact information
Practice address
505 5TH ST STE 520, SIOUX CITY, IA 51101-1506
(712) 259-0851
Mailing address
505 5TH ST STE 520, SIOUX CITY, IA 51101-1506
(712) 259-0851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00850
IA
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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