Organization
INNOVATIVE COUNSELING & CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON JARRETT (EXECUTIVE DIRECTOR)
(515) 235-5224
Entity
Organization
Contact information
Practice address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 235-5224
(866) 672-0706
Mailing address
1063 14TH PL STE A, DES MOINES, IA 50314-1245
(515) 235-5224
(866) 672-0706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IA
251S00000X
Community/Behavioral Health Agency
—
IA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600884423
—
IA
Enumeration date
02/25/2013
Last updated
01/22/2024
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