Jerome Raymond Bottelberghe, LPC

NPI #1154953651 in Minneota, Minnesota

Provider Information

NPI Number
1154953651
Entity Type
Individual
Name
Jerome Raymond Bottelberghe, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Feb 12, 2020
Last Updated
Feb 12, 2020

Practice Location

Address
110 E 2ND ST
ZIP Code
56264-9639
Phone
(507) 530-2029

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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