All Those Yesterdays

NPI #1972008720 in Spencer, Iowa

Provider Information

NPI Number: 1972008720
Entity Type: Organization
Organization Name: All Those Yesterdays
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 26, 2018
Last Updated: Mar 26, 2018

Practice Location

Address: 22 STONEYBROOK CIR SW
City: Spencer
State: Iowa
ZIP Code: 51301-5806
Phone: (712) 363-5886

Authorized Official

Name: RYAN RICHARD JENSEN, (T)LMHC, IADC, CCDP
Title: COUNSELOR
Phone: (712) 363-5886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Substance Abuse Rehabilitation Facility	324500000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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