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Individual

SUSAN A BOLINT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, CAC II

Contact information

Practice address
1260 H ST, GREELEY, CO 80631-9115
(970) 351-6678
(970) 346-9800
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
(970) 346-9800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB-7602
CO
106H00000X
Marriage & Family Therapist
Primary
MFT-1049
CO

Other

Enumeration date
01/16/2013
Last updated
01/16/2013
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