Organization
CHILDREN OF PROMISE MENTORING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIORANNIA MARTINE PLEDGEJOHNSON (VICE PRESIDENT/TREASURER)
(319) 505-7537
Entity
Organization
Contact information
Practice address
1030 5TH AVE SUITE # 1200, CEDAR RAPIDS, IA 52403
(319) 529-1543
(833) 667-0184
Mailing address
1143 LONGFELLOW AVE, WATERLOO, IA 50703
(319) 529-1543
(833) 667-0184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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