Provider Demographics
NPI:1326779117
Name:JOSS, EMMA MALONE (TLMHC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:MALONE
Last Name:JOSS
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:MALONE
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TLMHC
Mailing Address - Street 1:2304 WATROUS AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-2145
Mailing Address - Country:US
Mailing Address - Phone:515-657-1375
Mailing Address - Fax:
Practice Address - Street 1:600 42ND ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-2701
Practice Address - Country:US
Practice Address - Phone:515-255-8399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA113942101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health