Individual provider · Type 1 NPI

Willow Mae Bolen, WILLOW BOLEN

Counselor · Portland, OR

NPI number 1306971510 Active

Practice location

2410 SE 121st Ave, #216
Portland, OR 97216-4066

Call (503) 724-1006 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1306971510

Willow Mae Bolen, WILLOW BOLEN's National Provider Identifier is 1306971510, issued on Feb 21, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.