Individual provider · Type 1 NPI

Jessica Earlywine, MS

Mental Health Counselor · Council Bluffs, IA

NPI number 1457765687 Active

Practice location

500 Willow Ave, Suite 305
Council Bluffs, IA 51503-0827

Call (712) 256-4420 Map

Fax (712) 256-4423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X073332 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1457765687

Jessica Earlywine, MS's National Provider Identifier is 1457765687, issued on Jun 16, 2014. 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 Jun 16, 2014.