Individual
JENNA A IBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 4TH AVE SE STE 300, CEDAR RAPIDS, IA 52401-1844
(319) 329-4646
Mailing address
215 4TH AVE SE STE 300, CEDAR RAPIDS, IA 52401-1844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IA
Other
Enumeration date
06/24/2022
Last updated
08/18/2023
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