# MRS. MAEGAN R. S. BOLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558804997
- **Gender:** F
- **Credential:** LMHC, CDP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 17-07-15 | OR | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CO60901400 | WA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CP60996825 | WA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | T-17-179 | OR | — |
| 101YM0800X | Mental Health Counselor | LH60937291 | WA | Yes |
| 101YM0800X | Mental Health Counselor | MC60901399 | WA | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2016
- **Last updated:** 11/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500718645 | — | OR |
| 05 | — | 500733467 | — | OR |