| Doctor Name: | ASHLEY M BOLLING |
| NPI Number: | 1437401742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, SAC |
| License Number: | 15772 |
| Business Practice Address: | 607 N Sales St Merrill, WI - 544521624 |
| Business Phone Number: | 7155369482 |
| Business Fax Number: | 7155932972 |
| Mailing Address: | 1100 Lake View Dr, WAUSAU |
| State: | WI |
| Postal Code: | 544036785 |
| Phone Number: | 7158484600 |
| Fax Number: | 7158455398 |
| NPI Enumeration Date: | 10/10/2012 |
| NPI Last Update Date: | 11/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15772 |
| 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: | |