Provider Demographics
NPI:1477119246
Name:JASPER, RONDA L (TLMHC)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:L
Last Name:JASPER
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-3523
Mailing Address - Country:US
Mailing Address - Phone:563-543-5065
Mailing Address - Fax:
Practice Address - Street 1:300 MAIN ST STE 230
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6946
Practice Address - Country:US
Practice Address - Phone:563-556-0699
Practice Address - Fax:563-583-3077
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor