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Mrs. Maegan R. S. Bolin, LMHC,CDP
Mental Health Counselor in Longview, Washington
NPI 1558804997

Maegan R. S. Bolin is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Maegan R. S. Bolin practices in Longview, WA and has the professional credentials of LMHC,CDP. The NPI Number for Maegan R. S. Bolin is 1558804997 and holds a License No. T-17-179 (Washington).

The current practice location address for Maegan R. S. Bolin is 922 Fir St, Longview, WA and can be reached out via phone at 360-353-9422 and via fax at 360-353-9440.

Location: 922 Fir St, Longview, WA, 98632-8486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558804997
Provider Name
Maegan R. S. Bolin
Credential
LMHC,CDP
Provider Entity Type
Individual
Gender
Female
Address
922 Fir St, Longview, WA, 98632-8486
Phone Number
360-353-9422
Fax Number
360-353-9440
Provider Enumeration Date
12/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500733467 05 OR
500718645 05 OR
institution
Provider Business Practice Location Address Details
Address
922 Fir St
City
Longview
State
Washington
Zip
98632-2525
Phone Number
360-353-9422
Fax Number
360-353-9440
person
Provider Business Mailing Address Details
Address
922 Fir St
City
Longview
State
Washington
Zip
98632-2525
Phone Number
360-353-9422
Fax Number
360-353-9440
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
17-07-15 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CO60901400 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T-17-179 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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