Most Relevant Information
Provider Data
| NPI Number: | 1003346370 |
| Provider Name: | JAMIE LYNN CULLEN LMHC, IADC, CCMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 072527 |
Most Important Dates
| Enumeration Date: | 06/19/2017 |
| Last Updated: | 06/19/2017 |
Provider Practice Location
3475 JERSEY RIDGE RD
DAVENPORT
IA
528072293
Practice Location Phone/Fax
| Phone: | 5633495235 |
| Fax: |
Provider Mailing Location
3865 TANGLEFOOT CT
BETTENDORF
IA
527222152
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |