Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME RAYMOND BOTTELBERGHE, LPC
Active Sole ProprietorJEROME RAYMOND BOTTELBERGHE, LPC is a Mental Health Counselor healthcare provider located in MINNEOTA, Minnesota. NPI 1154953651 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MINNEOTA, MN
Registration Details
- NPI Number
- 1154953651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2020 (6.4667598215544 yrs)
- Last Updated
- Feb 12, 2020
- License
-
01219 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 E 2ND STMINNEOTA, MN, 562649639Browse MN providers · Browse ZIP 56264
- Phone
- 5075302029
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.