Individual
MR. ADAM DOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LMHC
Contact information
Practice address
421 E ERIE ST, MISSOURI VALLEY, IA 51555
(712) 307-2355
Mailing address
411 HIGHWAY 191, PERSIA, IA 51563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
096915
IA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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