Individual
JANICE BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 BISHOP LN STE 300, LOUISVILLE, KY 40218-1950
(502) 446-5610
(502) 446-5619
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
255346
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100752430
—
KY
Enumeration date
06/12/2007
Last updated
03/23/2022
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