Provider Demographics
NPI:1659850824
Name:MORLAN, JARET MICHAEL (LMSW)
Entity Type:Individual
Prefix:
First Name:JARET
Middle Name:MICHAEL
Last Name:MORLAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 E AVE NW STE 105
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-2962
Mailing Address - Country:US
Mailing Address - Phone:800-531-4236
Mailing Address - Fax:319-483-6661
Practice Address - Street 1:155 MARION BLVD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3135
Practice Address - Country:US
Practice Address - Phone:319-895-2704
Practice Address - Fax:319-483-6661
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091192104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker