Individual
JACOB DONAVON SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
3408 WOODLAND AVE STE 209, WEST DES MOINES, IA 50266-6506
(515) 225-2015
Mailing address
PO BOX 163, GRIMES, IA 50111-0163
(515) 480-1913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001292
IA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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