Individual
JESSICA A IHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
229 S MAIN ST, SUITE 1, MAQUOKETA, IA 52060-3056
(563) 552-7080
(800) 394-1580
Mailing address
229 S MAIN ST, SUITE 1, MAQUOKETA, IA 52060-3056
(563) 552-7080
(800) 394-1580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00999
IA
103T00000X
Psychologist
Primary
00999
IA
103TC0700X
Clinical Psychologist
00999
IA
Other
Enumeration date
02/14/2006
Last updated
06/24/2010
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