Individual provider · Type 1 NPI

Susan Marie Bolles, LCSW

Mental Health Counselor · Brooklyn, NY

NPI number 1043363609 Active

Practice location

909 Union St
Brooklyn, NY 11215-1465

Call (718) 859-6606 Map

Fax (718) 859-6606

Mailing address

776 Westminster Rd
Brooklyn, NY 11230-2402

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRO54403 (NY)

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About NPI 1043363609

Susan Marie Bolles, LCSW's National Provider Identifier is 1043363609, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.