Individual
CAROL BOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
59 KATE WAGNER RD., WESTMINSTER, MD 21157
(410) 848-2500
(410) 876-3016
Mailing address
59 KATE WAGNER RD., WESTMINSTER, MD 21157
(410) 848-2500
(410) 876-3016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615501400
—
MD
Enumeration date
04/06/2007
Last updated
12/17/2009
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