Organization
BREAKING ILLUSIONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY LYNN GRAY LMHC, OWNER (CLINICAL MENTAL HEALTH COUNSELOR)
(712) 260-3117
Entity
Organization
Contact information
Practice address
2230 33RD ST STE 8, SPIRIT LAKE, IA 51360-7632
(712) 260-3117
Mailing address
PO BOX 25, ARNOLDS PARK, IA 51331-0025
(712) 260-3117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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