Individual
JERRY BOLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 434-1577
(603) 434-3101
Mailing address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 434-1577
(603) 434-3101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
867
NH
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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