Organization Name: | OKERBERG & ASSOCIATES |
NPI Number: | 1669894861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG OKERBERG (ADMINISTRATOR) |
Mailing Address: | 1785 Curtis Bridge Rd Ne North Liberty |
State: | IA US |
Postal Code: | 523179541 |
Phone Number: | 3196654210 |
Fax Number: | 3196659330 |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |