CLARISSA ROSALEE JOLLY TCADC
NPI 1073291902
Counselor - Addiction (Substance Use Disorder) in Waterloo, IA

Q: What is Clarissa Jolly's NPI number?

The NPI number for Clarissa Jolly is 1073291902. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Q: What is Clarissa Jolly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Jolly was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2023

3640 CANTERBURY CT, WATERLOO, IA 50702(319) 252-4631(319) 209-9287 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarissa Rosalee Jolly Tcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA ROSALEE JOLLY TCADC (NPI 1073291902) is an individual addiction (substance use disorder) provider in Waterloo, Iowa, licensed in Iowa (23055) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1073291902

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCLARISSA ROSALEE JOLLYCredential: TCADC

Location Address3640 CANTERBURY CTWaterloo, IA 50702-5705

Mailing Address3640 Canterbury CtWaterloo, IA 50702-5705 · (319) 252-4631 · Fax (319) 209-9287

Phone(319) 252-4631

Fax(319) 209-9287

Sole ProprietorNo

Enumeration DateJuly 10, 2023

NPPES CertifiedJuly 10, 2023

✔ NPI 1073291902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IA · 23055

3640 CANTERBURY CT, Waterloo, IA 50702

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY R BONEBRAKE LMSW, CADC, SAP

Social Worker

3640 CANTERBURY CT
WATERLOO, IA 50702

Black Hawk County (319) 252-4631

INTENTIONAL CHIROPRACTIC PC

Chiropractor

3640 CANTERBURY CT
WATERLOO, IA 50702

Black Hawk County (641) 780-4192

ACCESS EVALUATION AND EDUCATION SERVICES, L.L.C.

Community/Behavioral Health

3640 CANTERBURY CT
WATERLOO, IA 50702

Black Hawk County (319) 252-4631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarissa Jolly's NPI number?

The NPI number for Clarissa Jolly is 1073291902. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Clarissa Jolly located?

Clarissa Jolly practices at 3640 Canterbury Ct, Waterloo, IA 50702. The listed phone number is (319) 252-4631.

What is Clarissa Jolly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clarissa Jolly was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.