Individual provider · Type 1 NPI

William Trevor Bolen

Addiction (Substance Use Disorder) Counselor · Mount Orab, OH

NPI number 1043838147 Active

Practice location

149 Mercy Blvd
Mount Orab, OH 45154-0296

Specialties and licenses

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

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

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About NPI 1043838147

William Trevor Bolen's National Provider Identifier is 1043838147, issued on Jul 6, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Orab, OH. The record was last updated on Jul 6, 2020.