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Individual

PAUL EDWARD BOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3605 FAIRWAY DR, GREAT FALLS, MT 59401-2284
(406) 231-4588
Mailing address
3605 FAIRWAY DR, GREAT FALLS, MT 59401-2284

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-62848
MT
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-64476
MT

Other

Enumeration date
01/02/2024
Last updated
04/03/2024
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