| Organization Name: | MJC THERAPEUTIC COUNSELING SERVICES LLC |
| NPI Number: | 1518328988 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET JANE CONRAD (OWNER) |
| Mailing Address: | 1000 73rd St Ste 5 Windsor Heights |
| State: | IA US |
| Postal Code: | 503241321 |
| Phone Number: | 5152221175 |
| Fax Number: | 5152220935 |
| NPI Enumeration Date: | 03/14/2016 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 00072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |