Individual
SHELBY KRISTINE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 TRACY AVE, VAN METER, IA 50261-6204
(816) 509-0890
Mailing address
2675 TRACY AVE, VAN METER, IA 50261-6204
(816) 509-0890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
136091
IA
101YP2500X
Professional Counselor
2017022231
MO
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
04/01/2026
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