Individual
JAN N DUMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
2711 W 63RD ST, DAVENPORT, IA 52806-1647
(563) 327-0757
(563) 388-1041
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 327-0757
(563) 388-1041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
087465
IA
Other
Enumeration date
04/02/2019
Last updated
12/11/2019
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