# LC JR., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720470362
- **Authorized official:** MRS. JAMIE R MCWADE LMHC, IADC, DCC (OWNER)
- **Authorized official phone:** (563) 275-6728

## Contact information

- **Practice address:** 1912 MIDDLE RD, 300 B, BETTENDORF, IA 52722-7600
- **Practice address phone:** (563) 275-6728
- **Practice address fax:** (563) 265-8088
- **Mailing address:** 1912 MIDDLE RD, 300 B, BETTENDORF, IA 52722-7600
- **Mailing address phone:** (563) 275-6728
- **Mailing address fax:** (563) 265-8088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 13040 | IA | — |
| 101YM0800X | Mental Health Counselor | 001626 | IA | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 09/23/2015