Organization
E PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ENNEN LCPC (LICENSED PROFESSIONAL COUNSELOR)
(888) 270-1924
Entity
Organization
Contact information
Practice address
7503 HAMPSHIRE DR NE, CEDAR RAPIDS, IA 52402-6977
(888) 270-1924
Mailing address
5249 N PARK PL NE # 1031, CEDAR RAPIDS, IA 52402-6210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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