Organization
CHILDREN OF PROMISE MENTORING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL PLEDGEJOHNSON MSW (BEHAVIOR HEALTH COUNSELOR)
(319) 529-1543
Entity
Organization
Contact information
Practice address
1030 5TH AVE SE STE 1200, CEDAR RAPIDS, IA 52403-2428
(319) 529-1543
Mailing address
1143 LONGFELLOW AVE, WATERLOO, IA 50703-1720
(319) 529-1543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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