Champion State of Mind Pllc
NPI #1033578331 in Estherville, Iowa
Provider Information
- NPI Number
- 1033578331
- Entity Type
- Organization
- Organization Name
- Champion State of Mind Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 15, 2016
- Last Updated
- Sep 11, 2018
Practice Location
- Address
- 508 W CENTRAL AVE
- Address 2
- STE B
- City
- Estherville
- State
- Iowa
- ZIP Code
- 51334-1834
- Phone
- (800) 592-0180
Authorized Official
- Name
- MRS. AMANDA OLSON, LMHC, NCC
- Title
- OWNER
- Phone
- (800) 592-0180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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