Individual provider · Type 1 NPI

Jerrod David Boles, LPC

Mental Health Counselor · Clackamas, OR

NPI number 1962646133 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 571-0860 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC4544 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1962646133

Jerrod David Boles, LPC's National Provider Identifier is 1962646133, issued on Apr 30, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clackamas, OR. The record was last updated on Dec 30, 2021.