Organization
CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CAREY (BUSINESS MANAGER)
(319) 362-0632
Entity
Organization
Contact information
Practice address
118 2ND ST SE, STE 220, CEDAR RAPIDS, IA 52401-1201
(319) 362-0632
(319) 362-5206
Mailing address
118 2ND ST SE, STE 220, CEDAR RAPIDS, IA 52401-1201
(319) 362-0632
(319) 362-5206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
IA
1041C0700X
Clinical Social Worker
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474924
—
IA
01
—
36070
WELLMARK BCBS
IA
Enumeration date
05/05/2006
Last updated
04/26/2011
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