# PULLEN AND PULLEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457635583
- **Authorized official:** JEREMY PULLEN LMHC (DIRECTOR)
- **Authorized official phone:** (515) 408-6218

## Contact information

- **Practice address:** 1762 JOHNSON AVE, FORT DODGE, IA 50501-8408
- **Practice address phone:** (515) 408-6218
- **Mailing address:** 1762 JOHNSON AVE, FORT DODGE, IA 50501-8408
- **Mailing address phone:** (515) 408-6218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 001209 | IA | — |
| 101YM0800X | Mental Health Counselor | 001322 | IA | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011