Organization
KERRY SULLIVAN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN WOLLUM (CREDENTIALING)
(712) 363-0917
Entity
Organization
Contact information
Practice address
142 BROOKERIDGE DR, WATERLOO, IA 50702-5702
(319) 254-5885
Mailing address
140 BROOKERIDGE DR, WATERLOO, IA 50702-5702
(319) 254-5885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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