Individual
MARISSA LINN BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
233 S 2ND ST, WEST BRANCH, IA 52358-9620
(319) 643-2532
(319) 643-5708
Mailing address
PO BOX 130, WEST BRANCH, IA 52358-0130
(319) 643-2532
(319) 643-5708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
124599
IA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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