Bolls, Faryn L

Bolls, Faryn L is an individual health care provider with primary practice located at 1947 N California St , Stockton CA 95204-6029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bolls, Faryn L can be contacted via phone (209) 463-0870.

Contact Information

Primary practice address
1947 N California St Stockton CA 95204-6029
Phone: (209) 463-0870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1013276823
LBN Legal business name Bolls, Faryn L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated Nov 13th, 2017 - about 9 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.

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