MEDICARE: GRETCHEN HONSELL LMHC, CADC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922521335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN HONSELL LMHC, CADC, NCC

Provider Business Mailing Address
First Line	:	1202 W 11TH ST
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-2416
Country	:	US
Telephone Number	:	319-504-1428
Fax Number	:

Provider Business Practice Location Address
First Line	:	4521 CHADWICK RD STE 2
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8045
Country	:	US
Telephone Number	:	319-239-3533
Fax Number	:	319-972-4788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	07/18/2017

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