Individual
DAREN MICHAEL JAQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 FLINDT DR, STORM LAKE, IA 50588-3206
(712) 213-2205
(319) 359-4198
Mailing address
404 N MAPLE ST, CRESTON, IA 50801-2344
(515) 681-5966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
115111
IA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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