Individual
MARY JEAN KOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
25 S 15TH ST STE 3, COUNCIL BLUFFS, IA 51501-3900
(712) 328-3940
(712) 325-6161
Mailing address
25 S 15TH ST STE 3, COUNCIL BLUFFS, IA 51501-3900
(712) 328-3940
(712) 325-6161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00913
IA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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