MR. Jerrod David Boles, LPC

NPI #1962646133 in Clackamas, Oregon

Provider Information

NPI Number: 1962646133
Entity Type: Individual
Name: MR. Jerrod David Boles, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Apr 30, 2009
Last Updated: Dec 30, 2021

Practice Location

Address: 10180 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-8970
Phone: (503) 571-0860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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