Individual
ATHENA BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 MAIN ST, WILLIMANTIC, CT 06226-1910
(860) 456-7200
Mailing address
20 GERALDINE DR, ELLINGTON, CT 06029-2407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9431
CT
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
04/07/2026
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