Jeff L Mickey, T-LMFT | |
212 W Dale St, Waterloo, IA 50703-1954 | |
(319) 235-3550 | |
Not Available |
Full Name | Jeff L Mickey |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 212 W Dale St, Waterloo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134900079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 120243 (Iowa) | Primary |
Entity Name | Allen Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
Mailing Address | Practice Location Address |
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Jeff L Mickey, T-LMFT 3616 Panther Ln, Cedar Falls, IA 50613-4919 Ph: () - | Jeff L Mickey, T-LMFT 212 W Dale St, Waterloo, IA 50703-1954 Ph: (319) 235-3550 |
Jayden S Rubino, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-226-2345 | |
Elise Healzer, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1402 Logan Ave, Waterloo, IA 50703 Phone: 319-234-1572 Fax: 319-234-1576 | |
Shane Speck, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Solar Dr, Waterloo, IA 50701 Phone: 319-232-2086 |