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Organization

INTEGRATED COUNSELING PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAM INGRAM (FOUNDER)
(712) 255-0232
Entity
Organization

Contact information

Practice address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 255-0232
Mailing address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 255-0232

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11067
IA

Other

Enumeration date
07/12/2011
Last updated
07/12/2011
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Product
  • Claims
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