Jmg Therapy And Counseling
Social Worker, Clinical in Clive, IA. Organization (NPI-2).
NPI number1124912902
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1124912902
- Entity type
- Organization (NPI-2)
- Legal business name
- Jmg Therapy And Counseling
- Organization subpart
- No
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2190 Nw 82nd St Ste DClive, IA 50325-5509
Phone 515-777-1209 · Fax 515-349-5339
Mailing address
2190 Nw 82nd St Ste DClive, IA 50325-5509
Phone 515-777-1209 · Fax 515-349-5339
Authorized official
Andrea J Gustafson
Owner/Therapist
5152502012
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