Individual
AMANDA JO BOLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 WESTERN AVE STE D, CONNERSVILLE, IN 47331-1800
(765) 286-5773
Mailing address
2508 WESTERN AVE STE D, CONNERSVILLE, IN 47331-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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