Individual provider · Type 1 NPI

Kimberly Bolen

Mental Health Counselor · La Grande, OR

NPI number 1609625722 Active

Practice location

1612 5th St
La Grande, OR 97850-2516

Call (971) 302-4216 Map

Mailing address

62836 Ernest Rd
Elgin, OR 97827-9003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1609625722

Kimberly Bolen's National Provider Identifier is 1609625722, issued on May 13, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Grande, OR. The record was last updated on Jun 19, 2024.