Provider Demographics
NPI:1518229483
Name:PLADSEN, JESSICA M (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:M
Last Name:PLADSEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 DINA CT STE A
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-4706
Mailing Address - Country:US
Mailing Address - Phone:319-208-2150
Mailing Address - Fax:319-774-0348
Practice Address - Street 1:1214 DINA CT STE A
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-4706
Practice Address - Country:US
Practice Address - Phone:319-208-2150
Practice Address - Fax:319-774-0348
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000397106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA600919358Medicaid