Individual
CLARISSA ROSALEE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
3640 CANTERBURY CT, WATERLOO, IA 50702-5705
(319) 252-4631
(319) 209-9287
Mailing address
3640 CANTERBURY CT, WATERLOO, IA 50702-5705
(319) 252-4631
(319) 209-9287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23055
IA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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