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Individual
MATTHEW BOLEY
Active
Individual
MATTHEW BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
120235
OH
101YM0800X
Mental Health Counselor
Primary
1300195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120235
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD-CDCA NUMBER
OH
01
—
1300195
OHIO COUNSELOR SOCIAL WORK MARRIAGE FAMILY THERAPY BOARD-LPC NUMBER
OH
Enumeration date
08/27/2015
Last updated
08/27/2015
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