MS. CLEO SHARON BOLL


Address: 1200 Highway 25 N, Suite 107, Buffalo, MN 55313-2930
Phone: 7636840480

MS. CLEO SHARON BOLL (NPI# 1568543635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568543635
Entity Type Individual
Full Name MS. CLEO SHARON BOLL
Credential MA, LMFT
Practice Address 1200 Highway 25 N
Suite 107
Buffalo
MN 55313-2930
Practice Telephone 7636840480
Mailing Telephone 7636840480
Enumeration Date 2006-10-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0853 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1200 HIGHWAY 25 N
SUITE 107
City BUFFALO
State MN
Zip Code 55313-2930

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NPI Name Taxonomy Address Enumeration
1376197426 Jonathan L Barcus Hearing Instrument Specialist 1200 Highway 25 N, Buffalo, MN 55313-2930 2019-07-27
1841684099 Kilquan Ltd Chiropractor 1200 Highway 25 N, Suite 109, Buffalo, MN 55313-2930 2015-03-26
1760710685 Crow River Counseling LLC Point of Service 1200 Highway 25 N, Suite 108, Buffalo, MN 55313-2930 2009-12-04
1770713935 Neve Inc Audiologist-Hearing Aid Fitter 1200 Highway 25 N, #100, Buffalo, MN 55313-2930 2009-07-22
1922134188 Erik Michael Raml Audiologist 1200 Highway 25 N, Suite 103, Buffalo, MN 55313-2930 2007-02-24
1558430769 Thomas Daniel Psychologist 1200 Highway 25 N, Suite 108, Buffalo, MN 55313-2930 2006-11-06

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1609410919 Amanda G Lumadue Counselor 77 Broadway St Ste 100, Buffalo, NY 14203-1642 2019-10-30
1104477900 Nancy Jean Marcussen Counselor 135 Delaware Ave Ste 210, Buffalo, NY 14202-2410 2019-09-23
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1235633447 Elizabeth Randall Counselor 6176 Sheridan Dr, Buffalo, NY 14221-4812 2018-03-21
1225548878 Allison A Trusso-lahey Counselor 495 Parker Ave, Buffalo, NY 14216-2108 2017-10-10
1285171025 Santina Grace Phillips Counselor 10 Symphony Circle, Buffalo, NY 14201 2017-01-31
1760938716 Karen Kahler Counselor 1772 Donnelly Dr Nw, Buffalo, MN 55313 2016-08-30
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City BUFFALO
Zip Code 55313

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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