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Individual

RICHARD BOOTHBY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, TLMHC

Contact information

Practice address
427 E KANESVILLE BLVD STE 102, COUNCIL BLUFFS, IA 51503-4403
(712) 254-9018
Mailing address
427 E KANESVILLE BLVD STE 102, COUNCIL BLUFFS, IA 51503-4403
(712) 254-9018

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
126958
IA

Other

Enumeration date
07/25/2024
Last updated
07/25/2024
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