Ellen Gay Bolling

NPI 1063572576 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1063572576
Gender Female
Enumeration Date 12/12/2006
Last Updated 06/26/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3333 CHANATE RD
SANTA ROSA CA, 95404-1707, US
Phone (707) 537-6285
Fax
Business Location
3333 CHANATE RD
SANTA ROSA CA, 95404-1707, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 20701
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According to our database, Ellen Gay Bolling NPI is 1063572576, taxonomy code is 106H00000X and license number is 20701, license state is located at California. Ellen Gay Bolling physically located at 3333 Chanate Rd, Santa Rosa CA, 95404-1707. NPI Number Ellen Gay Bolling has the Individual type.

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1063572576 NPI number is provided on an as is basis without warranty of any kind. 1063572576 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Gay Bolling are for informational purposes only.