Individual provider · Type 1 NPI
Mark Bolin, LPC
Professional Counselor · Round Rock, TX
NPI number
1134554736
Active
Practice location
1301 N Aw Grimes Blvd, Apt 1022
Round Rock, TX 78665-3458
Mailing address
1301 North Aw Grimes Blvd, Apt 1022
Round Rock, TX 78665-3471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 69369 (TX) |
Professional Counselor: Definition to come...
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About NPI 1134554736
Mark Bolin, LPC's National Provider Identifier is 1134554736, issued on Sep 13, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Round Rock, TX. The record was last updated on Sep 13, 2013.