Individual
AMY BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 VINE ST, CINCINNATI, OH 45219-1828
(513) 684-7965
Mailing address
2216 VINE ST, CINCINNATI, OH 45219-1828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171132
OH
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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