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Individual

JEREMY ADAM BOLLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
T-LMHC

Contact information

Practice address
5415 NW 88TH ST STE 100, JOHNSTON, IA 50131-2951
(515) 727-1338
Mailing address
2021 POLK DR, AMES, IA 50010-4316
(515) 203-1918

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
129860
IA

Other

Enumeration date
03/03/2025
Last updated
03/03/2025
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