Individual
JANE BOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4100
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001142
VA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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