Individual
PATRICIA MARION BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, NCSC
Contact information
Practice address
1350 BALDY AVE STE A, POCATELLO, ID 83201-7104
(208) 346-7500
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 246-7500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
373
ID
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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