Individual
JESSICA RENEE DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W MAIN ST, ANAMOSA, IA 52205-1811
(319) 774-2045
(866) 496-4073
Mailing address
3625 UTICA RIDGE RD STE B, BETTENDORF, IA 52722-1653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/04/2022
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