Organization
WEST IOWA COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SONDAG L.M.H.C. (EXECUTIVE DIRECTOR)
(712) 263-3172
Entity
Organization
Contact information
Practice address
20 N 14TH ST, DENISON, IA 51442-2026
(712) 263-3172
(712) 263-5756
Mailing address
20 N 14TH ST, DENISON, IA 51442-2026
(712) 263-3172
(712) 263-5756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092221
—
IA
Enumeration date
09/16/2006
Last updated
08/22/2020
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