Premier Counseling Services, Llc

NPI 1205227394 - Counselor - 101YM0800X

NPI Details
NPI 1205227394
Enumeration Date 02/10/2015
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KELLEY KELLEY
Position CLINICAL THERAPIST
Phone (712) 870-1445
Fax
Practice Location
625 E 39TH ST
SOUTH SIOUX CITY NE, 68776-3445, US
Phone (712) 870-1445
Fax
Business Location
3421 MACOMB AVE
SIOUX CITY IA, 51106-1626, US
Phone (712) 870-1445
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Nebraska
License Number 1139
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According to our database, Premier Counseling Services, Llc NPI is 1205227394, taxonomy code is 101YM0800X and license number is 1139, license state is located at Nebraska. Premier Counseling Services, Llc physically located at 625 E 39th St, South Sioux City NE, 68776-3445. NPI Number 1033115704 has the healthcare provider type.

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1205227394 NPI number is provided on an as is basis without warranty of any kind. 1205227394 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Counseling Services, Llc are for informational purposes only.