Individual
ELIZABETH BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCP, LPC, NCC, CADC
Contact information
Practice address
470 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 584-1906
(503) 584-1952
Mailing address
470 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 584-1906
(503) 584-1952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
C6886
—
101YP2500X
Professional Counselor
Primary
C6886
OR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
C6886
OR
Other
Enumeration date
12/03/2018
Last updated
06/05/2025
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