Individual
JAIME LEA MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
(515) 255-8405
Mailing address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
(515) 255-8405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00124
IA
101YM0800X
Mental Health Counselor
Primary
007728
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469676
—
IA
Enumeration date
06/10/2009
Last updated
05/14/2021
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