Individual provider · Type 1 NPI

Dixie Bolan

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1275996308 Active

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

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 1275996308

Dixie Bolan's National Provider Identifier is 1275996308, issued on Apr 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Apr 5, 2016.