Individual
MICHAEL BOLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
(585) 245-2188
Mailing address
4125 DOUBLE CREEK CROSSING DR, APT. 214, CHARLOTTE, NC 28269-3265
(585) 245-2188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12265
NC
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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