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Individual

MRS. JAMIE RENEE MCWADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, IADC

Contact information

Practice address
1912 MIDDLE RD, 300B, BETTENDORF, IA 52722-7600
(563) 275-6728
(563) 265-8088
Mailing address
1912 MIDDLE RD, 300B, BETTENDORF, IA 52722-7600
(563) 275-6728
(563) 265-8088

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13040
IA
101YM0800X
Mental Health Counselor
Primary
001626
IA

Other

Enumeration date
07/23/2015
Last updated
07/23/2015
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