Individual provider · Type 1 NPI

Kaitlin Bolle

Addiction (Substance Use Disorder) Counselor · Escanaba, MI

NPI number 1104764695 Active

Practice location

1101 Ludington St Ste H
Escanaba, MI 49829-3565

Mailing address

100 Malton Rd
Negaunee, MI 49866-2001

Other practice locations

  • 1500 Sandpoint Rd, Munising, MI 49862-1406 · (906) 291-3400
  • 241 Wright St Bldg 1, Marquette, MI 49855-1955 · (906) 228-6545
  • 220 Roosevelt St Ste 2, Ironwood, MI 49938-1737 · (906) 364-7506
  • 1115 S Hemlock St Ste 1, Iron Mountain, MI 49801-3800 · (906) 774-2561
  • 100 Malton Rd Ste 6, Negaunee, MI 49866-2002 · (906) 485-2347

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 1104764695

Kaitlin Bolle's National Provider Identifier is 1104764695, issued on Mar 24, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Escanaba, MI. The record was last updated on Mar 24, 2026.