Individual
MICHAEL A BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC
Contact information
Practice address
111 NJ-35, CLIFFWOOD, NJ 07721
(732) 812-5489
Mailing address
7 RIVERSIDE DR, CLARK, NJ 07066-1524
(908) 380-6307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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