Organization
LISA CROUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA K CROUSE (OWNER)
(531) 389-9440
Entity
Organization
Contact information
Practice address
170 W GRAHAM AVE, COUNCIL BLUFFS, IA 51503-6832
(531) 389-9440
Mailing address
170 W GRAHAM AVE, COUNCIL BLUFFS, IA 51503-6832
(531) 389-9440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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