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Rachael Evonne Bolanos Jackson, TLMHC
Mental Health Counselor in West Des Moines, Iowa
NPI 1780384867

Rachael Evonne Bolanos Jackson is a Mental Health Counselor based in West Des Moines, IA and is specialized in Mental Health. Rachael Evonne Bolanos Jackson practices in West Des Moines, IA and has the professional credentials of TLMHC. The NPI Number for Rachael Evonne Bolanos Jackson is 1780384867 and holds a License No. 117723 (Iowa).

The current practice location address for Rachael Evonne Bolanos Jackson is 4949 Pleasant St Ste 202, West Des Moines, IA and can be reached out via phone at 515-782-3208.

Location: 4949 Pleasant St Ste 202, West Des Moines, IA, 50266-5495
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Provider Profile Details
NPI Number
1780384867
Provider Name
Rachael Evonne Bolanos Jackson
Credential
TLMHC
Provider Entity Type
Individual
Gender
Female
Address
4949 Pleasant St Ste 202, West Des Moines, IA, 50266-5495
Phone Number
515-782-3208
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117723 05 IA
institution
Provider Business Practice Location Address Details
Address
4949 Pleasant St Ste 202
City
State
Zip
50266-5495
Phone Number
515-782-3208
Fax Number
person
Provider Business Mailing Address Details
Address
4949 Pleasant St Ste 202
City
State
Zip
50266-5495
Phone Number
515-782-3208
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
117723 (Iowa)
Definition
Definition to come...
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