Organization
WAPSI VALLEY FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN KAY SCHULTZ LISW (OWNER)
(319) 361-4867
Entity
Organization
Contact information
Practice address
805 CHARLES ST, MASONVILLE, IA 50654-8516
(319) 361-4867
(563) 927-3939
Mailing address
805 CHARLES ST, MASONVILLE, IA 50654-8516
(319) 361-4867
(563) 927-3939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04543
IA
251S00000X
Community/Behavioral Health Agency
04543
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600931888
—
IA
Enumeration date
07/08/2011
Last updated
05/06/2022
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