Individual provider · Type 1 NPI
Brian Keith Bolen, PSY. D., L.M.H.C.
Mental Health Counselor · Tampa, FL
NPI number
1356677421
Active
Practice location
3903 Northdale Blvd Ste 100-47
Tampa, FL 33624-1864
Fax (813) 406-5158
Mailing address
4651 Wandering Way
Wesley Chapel, FL 33544-8500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8545 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP 2482 (FL) |
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MH 8545 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1356677421
Brian Keith Bolen, PSY. D., L.M.H.C.'s National Provider Identifier is 1356677421, issued on Oct 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Nov 19, 2024.