Individual
CHELSE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 1ST ST N STE 101, SAINT CLOUD, MN 56303-1924
(612) 268-5858
Mailing address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
23169
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23169
LICSW LICENSE
MN
Enumeration date
03/10/2022
Last updated
10/09/2024
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