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DR. MICHAEL P BOBOLIA

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891827085

Individual Registrant:
DR. MICHAEL P BOBOLIA 
Gender: M
Sole Proprietor

Location and contact information for practice:
209 SHORE RD  NEWPORT, NC 28570-6083 US
Tel: 252-269-9411  Fax: --

Contact information for business:
209 SHORE RD  NEWPORT, NC 28570-6083 US
Tel: 252-269-9411  Fax: --

Registration Information:
NPI: 1891827085
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
NC7385
N101YP2500XBehavioral Health & Social Service Providers
Counselor
VA1213

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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