| Pullen And Pullen | |
|
1762 Johnson Ave Fort Dodge IA 50501-8408 | |
| (515) 408-6218 | |
| Not Available |
| Full Name | Pullen And Pullen |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1762 Johnson Ave, Fort Dodge, Iowa |
| Authorized Official Name and Position | Jeremy Pullen (DIRECTOR) |
| Authorized Official Contact | 5154086218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pullen And Pullen 1762 Johnson Ave Fort Dodge IA 50501-8408 Ph: (515) 408-6218 | Pullen And Pullen 1762 Johnson Ave Fort Dodge IA 50501-8408 Ph: (515) 408-6218 |
| NPI Number | 1457635583 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457635583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001322 (Iowa) | Primary |
| 101YM0800X | Counselor - Mental Health | 001209 (Iowa) | Secondary |
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