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Organization

PULLEN AND PULLEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY PULLEN LMHC (DIRECTOR)
(515) 408-6218
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001209
IA
101YM0800X
Mental Health Counselor
Primary
001322
IA

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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