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Organization
LC JR., LLC
Active
Organization
LC JR., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE R MCWADE LMHC, IADC, DCC (OWNER)
(563) 275-6728
Entity
Organization
Contact information
Practice address
1912 MIDDLE RD, 300 B, BETTENDORF, IA 52722-7600
(563) 275-6728
(563) 265-8088
Mailing address
1912 MIDDLE RD, 300 B, BETTENDORF, IA 52722-7600
(563) 275-6728
(563) 265-8088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13040
IA
101YM0800X
Mental Health Counselor
Primary
001626
IA
Other
Enumeration date
02/18/2015
Last updated
09/23/2015
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