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Organization

ADVANCEMENTS IN COUNSELING, EDUCATION, AND LAW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID DE VRIES (AGENT)
(641) 895-8879
Entity
Organization

Contact information

Practice address
208 N 12TH ST, CENTERVILLE, IA 52544-1704
(641) 895-8879
Mailing address
208 N 12TH ST, CENTERVILLE, IA 52544-1704

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/23/2025
Last updated
08/02/2025
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