| Doctor Name: | JAIME L BOLLMANN |
| NPI Number: | 1083704118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CSAC |
| License Number: | 15250 |
| Business Practice Address: | 311 Elm St Woodruff, WI - 545689149 |
| Business Phone Number: | 7153568540 |
| Business Fax Number: | |
| Mailing Address: | 311 Elm St, P.o. Box 470 WOODRUFF |
| State: | WI |
| Postal Code: | 545689149 |
| Phone Number: | 7153568540 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 09/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15250 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |