Individual
JACQUELYNE CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
Mailing address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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