Organization
FULL CIRCLE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMI GUZMAN (CO-OWNER)
(712) 352-0917
Entity
Organization
Contact information
Practice address
803 3RD AVE, COUNCIL BLUFFS, IA 51501
(402) 210-6507
Mailing address
803 3RD AVE, COUNCIL BLUFFS, IA 51501
(402) 210-6507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001148
IA
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/19/2011
Last updated
08/07/2019
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