Individual
JENNIFER D GAUERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CADC, LMHC
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
Mailing address
213 N ANKENY BLVD STE 100, ANKENY, IA 50023-1749
(515) 257-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
091326
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121530
—
IA
Enumeration date
01/25/2017
Last updated
06/25/2021
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