Individual provider · Type 1 NPI

Katie Leann Bolen, B.S., QMHS, SWT

Student in an Organized Health Care Education/Training Program · Moraine, OH

NPI number 1063265122 Active

Practice location

2211 Arbor Blvd
Moraine, OH 45439-1521

Call (937) 222-9481 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063265122

Katie Leann Bolen, B.S., QMHS, SWT's National Provider Identifier is 1063265122, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moraine, OH. The record was last updated on Jul 26, 2026.