Individual provider · Type 1 NPI

Faryn L. Bolls

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1013276823 Active

Practice location

1947 N California St
Stockton, CA 95204-6029

Call (209) 463-0870 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013276823

Faryn L. Bolls's National Provider Identifier is 1013276823, issued on May 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Nov 13, 2017.