Individual
MS. JACQUELYN SUE MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
427 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503-9079
(712) 256-9660
(712) 256-9661
Mailing address
3003 GROVER AVE, MISSOURI VALLEY, IA 51555-7020
(402) 980-8266
(712) 256-9661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001619
IA
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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