Provider Demographics
NPI:1225108319
Name:BOLLING, MARIANNE ANDREA (LPC)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:ANDREA
Last Name:BOLLING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:ANDREA
Other - Last Name:CIARIMBOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1512 ASHLAND STREET
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-853-8944
Mailing Address - Fax:724-853-8944
Practice Address - Street 1:1602 BROAD STREET
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-853-8944
Practice Address - Fax:724-853-8944
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002121101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor