Organization
INTEGRATED WELLNESS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET CASEY BRENTON LISW (CO-OWNER)
(319) 531-7799
Entity
Organization
Contact information
Practice address
1101 5TH ST STE 103, CORALVILLE, IA 52241-2904
(319) 531-7799
(319) 344-4486
Mailing address
1101 5TH ST STE 103, CORALVILLE, IA 52241-2904
(319) 531-7799
(319) 344-4486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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