Provider Demographics
NPI:1871927251
Name:THRONDSON, JESSICA A (LMHC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:THRONDSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-3444
Mailing Address - Country:US
Mailing Address - Phone:641-228-5151
Mailing Address - Fax:641-228-2902
Practice Address - Street 1:1501 S MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-3444
Practice Address - Country:US
Practice Address - Phone:641-228-5151
Practice Address - Fax:641-228-2902
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091393101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health