Individual
JESSICA KAY SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACADC
Contact information
Practice address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-1353
(319) 352-2329
Mailing address
2001 TETON DR, WATERLOO, IA 50701-9725
(319) 352-1353
(319) 352-2329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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