John R. Church, LMHC Valid NPI

Individual provider · Mental Health Counselor · Waterloo, IA

NPI

1093048282

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

001065 (IA)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-09-07

Last updated

2018-09-19