Individual
BEN MINECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 GLENN ST SE STE 2, MOUNT VERNON, IA 52314-1501
(319) 423-2244
Mailing address
1530 RANMAR CT, ELY, IA 52227-9592
(319) 423-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
096400
IA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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