| Shannon Bolander, Llc | |
|
5749 Park Center Ct Toledo OH 43615-1479 | |
| (419) 392-3208 | |
| Not Available |
| Full Name | Shannon Bolander, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5749 Park Center Ct, Toledo, Ohio |
| Authorized Official Name and Position | Shannon Meredith Bolander (COUNSELOR) |
| Authorized Official Contact | 4193923208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Bolander, Llc 5749 Park Center Ct Toledo OH 43615-1479 Ph: (419) 392-3208 | Shannon Bolander, Llc 5749 Park Center Ct Toledo OH 43615-1479 Ph: (419) 392-3208 |
| NPI Number | 1124821053 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124821053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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