Organization
CORALVILLE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBY JO SALM LISW, RPT (OWNER, CEO, THERAPIST)
(319) 330-7227
Entity
Organization
Contact information
Practice address
860 22ND AVE STE 3, CORALVILLE, IA 52241-1687
(319) 330-7227
Mailing address
860 22ND AVE STE 3, CORALVILLE, IA 52241-1687
(319) 330-7227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/21/2024
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