BRIAN KEITH BOLEN

TAMPA, FL
NPI1356677421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH 8545)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: FL  MH8545)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  CAP 2482)
101YM0800X Counselor, Mental Health
Enumeration Date2009-10-26
Last Update Date2024-11-19
Business Address
Dr. BRIAN KEITH BOLEN Psy. D., L.M.H.C.
3903 NORTHDALE BLVD STE 100-47
TAMPA, FL 33624-1864
Phone number: 813-817-8498
Mailing Address
Dr. BRIAN KEITH BOLEN Psy. D., L.M.H.C.
4651 WANDERING WAY
WESLEY CHAPEL, FL 33544-8500
Phone number: 813-907-0285
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