Individual
ELIZABETH BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6315 MUTUAL DR STE A, FORT WAYNE, IN 46825-4238
(260) 205-8874
Mailing address
6315 MUTUAL DR STE A, FORT WAYNE, IN 46825-4238
(260) 205-8874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003925A
IN
Other
Enumeration date
03/18/2019
Last updated
03/04/2024
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