Individual provider · Type 1 NPI

Amanda Jane Bolen, MA, LGPC

Professional Counselor · Bel Air, MD

NPI number 1104183854 Active

Practice location

1804 Larkin Pl
Bel Air, MD 21015-4885

Call (443) 910-0612 Map

Mailing address

900 S Main St Bldg A
Bel Air, MD 21014-5447

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLGP3491 (MD)
Professional Counselor Primary 101YP2500XLC4827 (MD)

Professional Counselor: Definition to come...

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About NPI 1104183854

Amanda Jane Bolen, MA, LGPC's National Provider Identifier is 1104183854, issued on Apr 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bel Air, MD. The record was last updated on Aug 6, 2020.