William Trevor Bolen

NPI #1043838147 in Mount Orab, Ohio

Provider Information

NPI Number
1043838147
Entity Type
Individual
Name
William Trevor Bolen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 6, 2020
Last Updated
Jul 6, 2020

Practice Location

Address
149 MERCY BLVD
State
Ohio
ZIP Code
45154-0296
Phone
(937) 712-3121

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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