Mary A Bolender, CO61603715SUDPT Valid NPI
Individual provider · Counselor · Shelton, WA
- NPI
- 1528884707
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- CO61603715 (WA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-12-03
- Last updated
- 2026-03-11
Practice location
506 W Franklin St
Shelton, WA 98584-3517
(360) 427-5232