Search › West Virginia › 104100000X
Jaclyn Bolen, LICSW
NPI 1982371860 · on the registry since 2021 · sole proprietor
Practice
- Address
- 141 Scarbrough Ln
Shady Spring, WV 25918 - Phone
- (304) 578-1983
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-08
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 West Virginia