Individual provider · Type 1 NPI
Clarissa Rosalee Jolly, TCADC
Addiction (Substance Use Disorder) Counselor · Waterloo, IA
NPI number
1073291902
Active
Practice location
3640 Canterbury Ct
Waterloo, IA 50702-5705
Fax (319) 209-9287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23055 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1073291902
Clarissa Rosalee Jolly, TCADC's National Provider Identifier is 1073291902, issued on Jul 10, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterloo, IA. The record was last updated on Jul 10, 2023.