Individual
JIM GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 N 7TH ST, DENISON, IA 51442-2461
(712) 263-8445
(712) 263-8250
Mailing address
PO BOX 178, DENISON, IA 51442-0178
(712) 263-8445
(712) 263-8250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00673
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011817
—
IA
Enumeration date
01/08/2007
Last updated
07/09/2007
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