Healthcare Provider Details

I. General information

NPI: 1730604554
Provider Name (Legal Business Name): ANDRESEN COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 10/31/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 KIMBALL AVE STE 201
WATERLOO IA
50702-5757
US

IV. Provider business mailing address

3641 KIMBALL AVE STE 201
WATERLOO IA
50702-5757
US

V. Phone/Fax

Practice location:
  • Phone: 319-240-2284
  • Fax:
Mailing address:
  • Phone: 319-240-2284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DEE MONSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 319-269-1011