Individual
JESSICA COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E WASHINGTON ST, CLARINDA, IA 51632-1625
(712) 542-3501
Mailing address
215 E WASHINGTON ST, CLARINDA, IA 51632-1625
(712) 542-3501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
077247
IA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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