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Individual
DR. BRIAN KEITH BOLEN
Active
Individual
DR. BRIAN KEITH BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D., L.M.H.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 2482
FL
101YM0800X
Mental Health Counselor
Primary
MH 8545
FL
101YM0800X
Mental Health Counselor
MH8545
FL
Other
Enumeration date
10/26/2009
Last updated
11/19/2024
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