Jan Dumond Llc | |
4620 E 53rd St Ste 264 Davenport IA 52807-3627 | |
(563) 293-7996 | |
(563) 562-0536 |
Full Name | Jan Dumond Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 4620 E 53rd St Ste 264, Davenport, Iowa |
Authorized Official Name and Position | Jan Dumond (OWNER) |
Authorized Official Contact | 3095070976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jan Dumond Llc 4620 E 53rd St Ste 264 Davenport IA 52807-3627 Ph: (563) 293-7996 | Jan Dumond Llc 4620 E 53rd St Ste 264 Davenport IA 52807-3627 Ph: (563) 293-7996 |
NPI Number | 1952925992 |
---|---|
Provider Enumeration Date | 06/05/2020 |
Last Update Date | 06/05/2020 |
Certification Date | 06/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952925992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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