Organization
RENEW COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALAN GREGORY MA (OWNER)
(319) 464-2940
Entity
Organization
Contact information
Practice address
3356 KIMBALL AVE, SUITE 3, WATERLOO, IA 50702-5700
(319) 464-2940
Mailing address
3356 KIMBALL AVE, SUITE 3, WATERLOO, IA 50702-5700
(319) 464-2940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00975
IA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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