Healthcare Provider Details

I. General information

NPI: 1629998430
Provider Name (Legal Business Name): ROUGH DRAFT THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 FOOTHILL CT STE 118
DUBUQUE IA
52001-0840
US

IV. Provider business mailing address

1735 LAWNDALE ST
DUBUQUE IA
52001-4208
US

V. Phone/Fax

Practice location:
  • Phone: 563-258-4840
  • Fax:
Mailing address:
  • Phone: 563-258-4840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAIME D OLER-HARROP
Title or Position: OWNER
Credential: LISW
Phone: 801-750-3267