| Jan Maureen Green, LMHC | |
|
215 6th Ave S, Suite 25, Clinton, IA 52732-4338 | |
| (563) 242-9210 | |
| (563) 243-0730 |
| Full Name | Jan Maureen Green |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 215 6th Ave S, Clinton, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922148279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00819 (Iowa) | Primary |
| Entity Name | Healing Place, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558536524 PECOS PAC ID: 5799930475 Enrollment ID: O20130302000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Maureen Green, LMHC 215 6th Ave S, Suite 25, Clinton, IA 52732-4338 Ph: (563) 242-9210 | Jan Maureen Green, LMHC 215 6th Ave S, Suite 25, Clinton, IA 52732-4338 Ph: (563) 242-9210 |
Mr. Jill Sidlinger, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 11th St Nw, Ste A, Clinton, IA 52732 Phone: 563-243-4490 Fax: 563-243-4585 | |
Cassidy Amber Potter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N Bluff Blvd Ste 206, Clinton, IA 52732 Phone: 815-590-3707 | |
Mrs. Janice Lee Mussmann, MSC LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 11th St Nw, Ste A, Clinton, IA 52732 Phone: 563-243-4490 Fax: 563-243-4585 | |
Jada Mathison, Counselor Medicare: Medicare Enrolled Practice Location: 927 N 2nd St Ste B, Clinton, IA 52732 Phone: 319-409-6922 | |
Maribeth Bousman, BA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Clinton, IA 52732 Phone: 563-242-6805 | |
Kelly Jean Saul, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 20th Ave N, Clinton, IA 52732 Phone: 563-243-2124 Fax: 563-243-2190 | |
Angelena Wells, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N Bluff Blvd, Clinton, IA 52732 Phone: 319-409-6922 |