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Organization

COUNSELING AND THERAPY ASSOCIATES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRACY SCHULZ LISW (EXECUTIVE DIRECTOR)
(319) 236-7701
Entity
Organization

Contact information

Practice address
3120 KIMBALL AVE, SUITE B & C, WATERLOO, IA 50702-5272
(319) 236-7701
(319) 226-3263
Mailing address
3120 KIMBALL AVE, SUITE B & C, WATERLOO, IA 50702-5272
(319) 236-7701
(319) 226-3263

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0177394
IA
Enumeration date
01/24/2007
Last updated
08/22/2020
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