Individual
MARK WESLEY BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSE, LPC
Contact information
Practice address
209 SILVER ST, HURLEY, WI 54534-1253
(906) 285-9710
(855) 543-0237
Mailing address
402 E AYER ST, IRONWOOD, MI 49938-2202
(906) 364-2578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1860-226
WI
Other
Enumeration date
08/15/2013
Last updated
03/17/2018
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