Individual
JULIE JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
375 COLLINS RD NE STE 103, CEDAR RAPIDS, IA 52402-3168
(319) 853-8762
(319) 249-6875
Mailing address
595 ASHLEY CT STE 5, NORTH LIBERTY, IA 52317-4758
(319) 853-8762
(319) 249-6875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106182
IA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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