Individual
JODYIE KATHERINE LANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3812 INGERSOLL AVE, DES MOINES, IA 50312-3400
(515) 225-2500
Mailing address
3812 INGERSOLL AVE, DES MOINES, IA 50312-3400
(515) 225-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080032
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748988
—
IA
01
—
208012262
TAX ID #
IA
Enumeration date
01/17/2018
Last updated
06/16/2018
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