Provider Demographics
NPI:1407698954
Name:BOLIEK, KATHRYN WESTBROOK (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:WESTBROOK
Last Name:BOLIEK
Suffix:
Gender:X
Credentials:MA, LPC, NCC
Other - Prefix:MR
Other - First Name:KADE
Other - Middle Name:
Other - Last Name:BOLIEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC, NCC
Mailing Address - Street 1:1 CHASE CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-7001
Mailing Address - Country:US
Mailing Address - Phone:205-800-8927
Mailing Address - Fax:205-941-8039
Practice Address - Street 1:1 CHASE CORPORATE DR STE 400
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-7001
Practice Address - Country:US
Practice Address - Phone:205-800-8927
Practice Address - Fax:205-941-8039
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05278101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional