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NPI Code Detail

MEDICARE: JESSICA LEIGH VOLK MS, LMHC, CADC, NCC

MEDICARE:   JESSICA LEIGH VOLK  MS, LMHC, CADC, NCC
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 Counselor078986IA
2101YA0400XAddiction (Substance Use Disorder) Counselor14040IA

General Provider Information

NPI Number : 1811323553
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEIGH VOLK MS, LMHC, CADC, NCC
Provider Business Mailing Address
First Line : 4628 HYPERION DR
Second Line :
City : NORWALK
State : IA
Zip : 50211-1717
Country : US
Telephone Number : 515-778-6081
Fax Number :
Provider Business Practice Location Address
First Line : 1501 42ND ST
Second Line : STE 210
City : WEST DES MOINES
State : IA
Zip : 50266-1005
Country : US
Telephone Number : 515-778-6081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 11/06/2016

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