Individual
RACHEL BOLLERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Mailing address
709 SAINT OLAF AVE N, CANBY, MN 56220-1122
(701) 367-3005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01174
MN
Other
Enumeration date
03/23/2016
Last updated
02/20/2017
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