# JAN DUMOND LLC

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

## Provider details

- **NPI number:** 1952925992
- **Authorized official:** JAN DUMOND LMHC (OWNER)
- **Authorized official phone:** (309) 507-0976

## Contact information

- **Practice address:** 4620 E 53RD ST STE 264, DAVENPORT, IA 52807-3627
- **Practice address phone:** (563) 293-7996
- **Practice address fax:** (563) 562-0536
- **Mailing address:** 4620 E 53RD ST STE 264, DAVENPORT, IA 52807-3627
- **Mailing address phone:** (563) 293-7996
- **Mailing address fax:** (563) 562-0536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 06/05/2020