Individual
MRS. JAHKALA WILSON-BEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
303 S 2ND AVE W, NEWTON, IA 50208-3712
(641) 792-0045
(641) 787-0063
Mailing address
303 S 2ND AVE W, NEWTON, IA 50208-3712
(641) 792-0045
(641) 787-0063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1312
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60087862
—
IA
Enumeration date
08/05/2020
Last updated
09/25/2020
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