MEDICARE: CHRISTINE SKOW LMHC

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	079974	IA

General Provider Information

NPI Number	:	1881137529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE SKOW LMHC

Provider Business Mailing Address
First Line	:	2140 NORCOR AVE STE 107
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-9736
Country	:	US
Telephone Number	:	319-322-8145
Fax Number	:	319-321-8338

Provider Business Practice Location Address
First Line	:	2140 NORCOR AVE STE 107
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-9736
Country	:	US
Telephone Number	:	319-322-8145
Fax Number	:	319-321-8338

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

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	03/04/2026

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