Individual
KATHERINE D BOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 DOCTORS DR, BOSSIER CITY, LA 71111-3321
(318) 584-7133
Mailing address
1505 DOCTORS DR, BOSSIER CITY, LA 71111-3321
(318) 584-7133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT5326
LA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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