Organization
INTEGRATED THERAPY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN S MARCUM LMHC (OWNER/ADMIN)
(712) 986-7800
Entity
Organization
Contact information
Practice address
303A MCKENZIE AVE, COUNCIL BLUFFS, IA 51503-1014
(712) 986-7800
Mailing address
303A MCKENZIE AVE, COUNCIL BLUFFS, IA 51503-1014
(712) 986-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/02/2018
Last updated
01/29/2025
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