Individual provider · Type 1 NPI
Amanda Michele Bolte, CADC
Addiction (Substance Use Disorder) Counselor · Macomb, IL
NPI number
1457625592
Active
Practice location
900 S Deer Rd
Macomb, IL 61455-2639
Fax (309) 833-1531
Mailing address
2323 Windish Dr
Galesburg, IL 61401-9780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 29487 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Macomb
About NPI 1457625592
Amanda Michele Bolte, CADC's National Provider Identifier is 1457625592, issued on Mar 7, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Macomb, IL. The record was last updated on Mar 7, 2012.