MEDICARE: MS. MARY JOYCE PULSCHER LMHC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	01078	IA
2	101YM0800X	Mental Health Counselor	00687	IA

General Provider Information

NPI Number	:	1962756791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY JOYCE PULSCHER LMHC

Provider Business Mailing Address
First Line	:	1001 OFFICE PARK RD
Second Line	:	SUITE206
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2587
Country	:	US
Telephone Number	:	515-979-6370
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 OFFICE PARK RD
Second Line	:	SUITE 206
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2587
Country	:	US
Telephone Number	:	515-979-6370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	10/31/2012

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