| NPI | 1760668768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN ANDERSEN BURGHER Mental Health Counselor 712-328-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1750) |
| 101YM0800X Counselor, Mental Health (Licence: NE 376) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-04-28 |