Individual
JEREMY PULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
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
Primary
001322
IA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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