Individual
ASIA BOLDS-HANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4334 W CENTRAL AVE STE 202, TOLEDO, OH 43615-1679
(419) 407-6113
Mailing address
4334 W CENTRAL AVE STE 202, TOLEDO, OH 43615-1679
(419) 407-6113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1902026
OH
101YM0800X
Mental Health Counselor
Primary
E.2202726
OH
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349118
—
OH
05
—
0389503
—
OH
Enumeration date
06/15/2017
Last updated
10/11/2022
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