Individual
CARLEE RAE BOLLWERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
2224 1ST AVE W STE 4, WILLISTON, ND 58801-6286
(701) 572-3335
Mailing address
2224 1ST AVE W STE 4, WILLISTON, ND 58801-6286
(701) 572-3335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1402-11-1-24A
ND
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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