Provider Demographics
NPI:1144288150
Name:MUSSMANN, JANICE LEE (MSC LMHC)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LEE
Last Name:MUSSMANN
Suffix:
Gender:F
Credentials:MSC LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 11TH ST NW
Mailing Address - Street 2:STE A
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-5069
Mailing Address - Country:US
Mailing Address - Phone:563-243-4490
Mailing Address - Fax:563-243-4585
Practice Address - Street 1:1320 11TH ST NW
Practice Address - Street 2:STE A
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-5069
Practice Address - Country:US
Practice Address - Phone:563-243-4490
Practice Address - Fax:563-243-4585
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00204101YM0800X
IA02040104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA02040OtherMSW
IA00204OtherLMHC