Individual
MRS. KATHERINE JULIA BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11250 ROGER BACON DR BLDG 153, RESTON, VA 20190-5219
(571) 455-5206
(703) 636-8983
Mailing address
11250 ROGER BACON DR BLDG 153, RESTON, VA 20190-5219
(571) 455-5206
(703) 636-8983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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