SearchIowa101YA0400X

Carol Jackson, ACADC

NPI 1487980652 · on the registry since 2009 · sole proprietor

Practice

Address
1522 17th Street
Des Moines, IA 50314
Phone
(515) 279-0335

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa