Organization
ASBURY COUNSELING AND EVALUATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA RENEE GOTTO LISW, LCSW (OWNER)
(563) 588-3500
Entity
Organization
Contact information
Practice address
5900 SARATOGA RD, SUITE 4A, ASBURY, IA 52002-2124
(563) 588-3500
(563) 588-3500
Mailing address
5900 SARATOGA RD, SUITE 4A, ASBURY, IA 52002-2124
(563) 588-3500
(563) 588-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736793
—
IA
01
—
IB2101
PTAN MEDICARE
IA
Enumeration date
04/17/2012
Last updated
04/17/2012
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