| Townclock Mental Health Pc | |
|
799 Main St Ste 370 Dubuque IA 52001-6844 | |
| (563) 583-4111 | |
| (563) 583-5666 |
| Full Name | Townclock Mental Health Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 799 Main St, Dubuque, Iowa |
| Authorized Official Name and Position | Joel M Lightcap (PRINCIPLE, PRACTITIONER) |
| Authorized Official Contact | 5635835627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Townclock Mental Health Pc 799 Main St Ste 370 Dubuque IA 52001-6844 Ph: (563) 583-4111 | Townclock Mental Health Pc 799 Main St Ste 370 Dubuque IA 52001-6844 Ph: (563) 583-4111 |
| NPI Number | 1942633417 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942633417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00716 (Iowa) | Primary |
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