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Individual

JO CARTHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2319 E 29TH ST, DAVENPORT, IA 52803-2107
(563) 528-4775
Mailing address
2319 E 29TH ST, DAVENPORT, IA 52803-2107
(563) 528-4775

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10129
IA
101YM0800X
Mental Health Counselor
Primary
074697
IA

Other

Enumeration date
02/26/2014
Last updated
01/26/2015
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