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NPI Code Detail

MEDICARE: JESSICA HARDEN

MEDICARE: JESSICA HARDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor132584IA

General Provider Information

NPI Number : 1679410898
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HARDEN
Provider Business Mailing Address
First Line : 899 E 12TH STREET, APT 9669
Second Line : PO BOX 959
City : DES MOINES
State : IA
Zip : 50304-0959
Country : US
Telephone Number : 319-800-5564
Fax Number :
Provider Business Practice Location Address
First Line : 2240 9TH ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1575
Country : US
Telephone Number : 319-800-5564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ JESSICA HARDEN ” Practice Location

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