Lc Jr., Llc | |
1912 Middle Rd 300 B Bettendorf IA 52722-7600 | |
(563) 275-6728 | |
(563) 265-8088 |
Full Name | Lc Jr., Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1912 Middle Rd, Bettendorf, Iowa |
Authorized Official Name and Position | Jamie R Mcwade (OWNER) |
Authorized Official Contact | 5632756728 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lc Jr., Llc 1912 Middle Rd 300 B Bettendorf IA 52722-7600 Ph: (563) 275-6728 | Lc Jr., Llc 1912 Middle Rd 300 B Bettendorf IA 52722-7600 Ph: (563) 275-6728 |
NPI Number | 1720470362 |
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Provider Enumeration Date | 02/18/2015 |
Last Update Date | 09/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720470362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 13040 (Iowa) | Secondary |
101YM0800X | Counselor - Mental Health | 001626 (Iowa) | Primary |
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