Organization
WELLNESS FIRST COUNSELING
Active
Other names
Wellness First Counseling, John Smith
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SMITH (OWNER)
(563) 505-8289
Entity
Organization
Contact information
Practice address
1706 BRADY ST STE 200, DAVENPORT, IA 52803-4708
(563) 505-8289
Mailing address
1706 BRADY ST STE 200, DAVENPORT, IA 52803-4708
(563) 505-8289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600885202
—
IA
Enumeration date
01/24/2019
Last updated
01/24/2019
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