Individual
KRISTIN M BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE #50, BALSAM LAKE, WI 54810-9071
(715) 485-8882
(715) 485-8490
Mailing address
736 ROUND LAKE RD, LUCK, WI 54853-2017
(715) 472-4166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4461-125
WI
Other
Enumeration date
05/04/2009
Last updated
01/30/2017
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