Individual
JARED BOLLENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 WILSON AVE, COLUMBUS, OH 43205-1944
(260) 615-0021
Mailing address
467 WILSON AVE, COLUMBUS, OH 43205-1944
(260) 615-0021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60458136
WA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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