JERROD DAVID BOLES

CLACKAMAS, OR
NPI1962646133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C4544)
Enumeration Date2009-04-30
Last Update Date2021-12-30
Business Address
Mr. JERROD DAVID BOLES LPC
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0860
Mailing Address
Mr. JERROD DAVID BOLES LPC
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0860