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Organization

AUTHENTIC FREEDOM COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK JOSEPH HILLENBRAND LISW (PRESIDENT)
(515) 277-0814
Entity
Organization

Contact information

Practice address
4211 GRAND AVE # 12, DES MOINES, IA 50312-2423
(515) 277-0814
Mailing address
3775 EP TRUE PKWY # 119, W DES MOINES, IA 50265-7696
(515) 277-0814

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06724
IA

Other

Enumeration date
02/24/2012
Last updated
02/24/2012
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