Mr Adam Dollen, NCC, LMHC | |
421 E Erie St, Missouri Valley, IA 51555 | |
(712) 307-2355 | |
Not Available |
Full Name | Mr Adam Dollen |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 421 E Erie St, Missouri Valley, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619525433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 096915 (Iowa) | Primary |
Entity Name | Alegent Creighton Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770922437 PECOS PAC ID: 1850285255 Enrollment ID: O20131023000316 |
Mailing Address | Practice Location Address |
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Mr Adam Dollen, NCC, LMHC 411 Highway 191, Persia, IA 51563 Ph: () - | Mr Adam Dollen, NCC, LMHC 421 E Erie St, Missouri Valley, IA 51555 Ph: (712) 307-2355 |
Christopher David Shada, MSYFS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2151 293rd Ln, Missouri Valley, IA 51555 Phone: 402-714-2800 | |
Paige Boldt, T-LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3218 Italy Ave, Missouri Valley, IA 51555 Phone: 712-571-0082 | |
Ms. Karen Kay Gard, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 704 N 8th St, Missouri Valley, IA 51555 Phone: 712-642-2045 Fax: 712-642-9286 |