Individual
ADRIENNE BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
118 OLD LAFAYETTE AVE STE 1, LEXINGTON, KY 40502-1998
(859) 687-7007
(859) 687-7007
Mailing address
118 OLD LAFAYETTE AVE STE 1, LEXINGTON, KY 40502-1998
(859) 687-7007
(859) 687-7007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
262056
KY
101YM0800X
Mental Health Counselor
Primary
262056
KY
101YP2500X
Professional Counselor
262056
KY
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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