| Doctor Name: | NATALIE A. BOLLON |
| NPI Number: | 1316022031 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC-S |
| License Number: | E-0003799 |
| Business Practice Address: | 1260 Monroe St Nw Suite 27n New Philadelphia, OH - 446634160 |
| Business Phone Number: | 3303646488 |
| Business Fax Number: | 3303643307 |
| Mailing Address: | 1260 Monroe St Nw, Suite 27n NEW PHILADELPHIA |
| State: | OH |
| Postal Code: | 446634160 |
| Phone Number: | 3303646488 |
| Fax Number: | 3303643307 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E-0003799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |