Individual
JACKIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 N MAIN ST, MT PLEASANT, IA 52641-2094
(319) 385-2216
Mailing address
122 N MAIN ST, MT PLEASANT, IA 52641-2094
(319) 385-2216
(319) 753-0703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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