Organization
CEDAR VISTA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JACKSON LISW (LICENSED INDEPENDENT SOCIAL WORKER)
(319) 521-7903
Entity
Organization
Contact information
Practice address
1231 PARK PL NE STE L1, CEDAR RAPIDS, IA 52402-2013
(319) 521-7903
Mailing address
PO BOX 377, WALFORD, IA 52351-0377
(319) 521-7903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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