Organization
IN TOUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA JEFFERSON LMHC (CEO)
(319) 296-6909
Entity
Organization
Contact information
Practice address
212 E 4TH ST, WATERLOO, IA 50703-4702
(319) 296-6909
Mailing address
706 ALLEN ST, WATERLOO, IA 50702-2130
(319) 296-6909
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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