Individual
BRIAN PATRICK BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S MAIN ST STE C, MILFORD, MI 48381-1975
(248) 529-6383
Mailing address
1005 PAWGROVE CT, WHITE LAKE, MI 48383-3060
(248) 804-4904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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