Individual
MR. IAN JAMES BOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LGPC, NCC
Contact information
Practice address
3410 WHITE AVE, BALTIMORE, MD 21214-2301
(410) 522-3746
Mailing address
53 WANOMA CIR, REHOBOTH BEACH, DE 19971-7704
(201) 602-9587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9569
MD
101YP2500X
Professional Counselor
LGP7854
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC9569
MD STATE
MD
Enumeration date
09/08/2017
Last updated
03/25/2024
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