Bolin, Maegan R. S.
Bolin, Maegan R. S. is an individual health care provider with primary practice located at 922 Fir St , Longview WA 98632-2525. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bolin, Maegan R. S. can be contacted via phone (360) 353-9422.Contact Information
Primary practice address
922 Fir St
Longview WA 98632-2525
Phone: (360) 353-9422
Fax: (360) 353-9440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-17-179 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60901400 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 17-07-15 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60996825 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC60901399 | Washington |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60937291 | Washington |
Profile Details
| NPI number | 1558804997 |
|---|---|
| LBN Legal business name | Bolin, Maegan R. S. |
| Credentials | LMHC, CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2016 |
| Last updated | Nov 9th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558804997 | NPPES |
| Oregon | MEDICAID | 500733467 | |
| Oregon | MEDICAID | 500718645 |
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