Individual
JEAN A. MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
801 HARMONY ST, SUITE 302, COUNCIL BLUFFS, IA 51503-3106
(712) 328-2609
(712) 328-9257
Mailing address
PO BOX 641130, OMAHA, NE 68164-7130
(402) 717-4390
(402) 717-4280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00883
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00883
STATE LIC
IA
Enumeration date
08/06/2007
Last updated
08/06/2007
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