Michael Bolan, LMSW

NPI 1457625246 · on the registry since 2012 · sole proprietor

Practice

Address: 21751 Ecorse Rd
Taylor, MI 48180
Phone: (313) 406-4493
Fax: (313) 406-5609
Organisation at this address: Center For Individual & Family Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan