Individual
ROBERT BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SC LPC
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6479
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
07/24/2008
Last updated
06/14/2024
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