Individual provider · Type 1 NPI

Jacquelyn Sue Marcum, LMHC

Mental Health Counselor · Council Bluffs, IA

NPI number 1407289713 Active

Practice location

427 E Kanesville Blvd
Council Bluffs, IA 51503-9079

Fax (712) 256-9661

Mailing address

3003 Grover Ave
Missouri Valley, IA 51555-7020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001619 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1407289713

Jacquelyn Sue Marcum, LMHC's National Provider Identifier is 1407289713, issued on Aug 11, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Aug 11, 2013.