JEREMY ADAM BOLLES T-LMHC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1962200477- Provider Type
- Individual Provider (NPI-1)
- Credentials
- T-LMHC
- Status
- Active
Contact & Location
- Address
- 5415 NW 88TH ST STE 100, JOHNSTON, IA, 501312951
- Phone
- (515) 727-1338
Specialties & Taxonomies
Counselor, Professional
Primary License: IA #129860