Organization
INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA RECKLING MA, LMFT, RPT (OWNER/LMFT)
(319) 759-9414
Entity
Organization
Contact information
Practice address
409 N 4TH ST STE 108, BURLINGTON, IA 52601-5255
(319) 759-9414
Mailing address
PO BOX 12, BURLINGTON, IA 52601-0012
(319) 759-9414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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