Bolen, Amanda Jane

Bolen, Amanda Jane is an individual health care provider with primary practice located at 1804 Larkin Pl , Bel Air MD 21015-4885. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bolen, Amanda Jane can be contacted via phone (443) 910-0612.

Contact Information

Primary practice address
1804 Larkin Pl Bel Air MD 21015-4885
Phone: (443) 910-0612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LGP3491 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC4827 Maryland

Profile Details

NPI number 1104183854
LBN Legal business name Bolen, Amanda Jane
Credentials MA, LGPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Aug 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers