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Contact Information

ABBY C BOLLUM, LADC
7701 YORK AVE S
STE 350
EDINA, MN55435
 Phone: 952-926-2526
 Fax: 952-926-6791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ABBY C BOLLUM · (Female)

NPI # 1083451165
Status Active
Credentials LADC
Entity Individual
Enumeration date 07/15/2024
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 306579
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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