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Organization

LIFE SKILLS, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GILLIAN JH FOX LBSW, MACRC (EXECUTIVE DIRECTOR)
(319) 354-2121
Entity
Organization

Contact information

Practice address
483 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
(319) 354-2121
(319) 354-0724
Mailing address
483 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
(319) 354-2121
(319) 354-0724

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
05195
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0089060
IA
05
0230839
IA
Enumeration date
11/02/2006
Last updated
08/22/2020
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