Individual
MELISSA BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
950 SW GREENVILLE HILLS RD, GREENVILLE, FL 32331-3108
(850) 948-4220
(850) 948-4227
Mailing address
950 SW GREENVILLE HILLS RD, GREENVILLE, FL 32331-3108
(850) 948-4220
(850) 948-4227
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2711
FL
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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