Organization
FAMILY ACCESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE LYNN TOMOSON MPA, IADC (CEO)
(712) 255-0204
Entity
Organization
Contact information
Practice address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 255-0204
Mailing address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
09/12/2024
Update your record
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