Provider Demographics
NPI:1598805137
Name:BOHLIN, JOHN EDWIN (MA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:EDWIN
Last Name:BOHLIN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:19 SAGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-2431
Mailing Address - Country:US
Mailing Address - Phone:508-852-0815
Mailing Address - Fax:508-852-0815
Practice Address - Street 1:76 SUMMER ST
Practice Address - Street 2:SUITE 025
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5783
Practice Address - Country:US
Practice Address - Phone:978-345-6729
Practice Address - Fax:978-342-7503
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health