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Organization

VINCENT PSYCHOTHERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTINE MARIE VINCENT LISW (PRESIDENT)
(319) 339-4757
Entity
Organization

Contact information

Practice address
757 W BENTON ST, IOWA CITY, IA 52246-5953
(319) 339-4757
(608) 299-1224
Mailing address
757 W BENTON ST, IOWA CITY, IA 52246-5953
(319) 339-4757
(608) 299-1224

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03057
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074591
IA
Enumeration date
11/08/2017
Last updated
09/10/2019
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