Individual
JAMIE LYNN CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, IADC, CCMHC
Contact information
Practice address
3475 JERSEY RIDGE RD, DAVENPORT, IA 52807-2293
(563) 349-5235
Mailing address
3865 TANGLEFOOT CT, BETTENDORF, IA 52722-2152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
072527
IA
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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