Mrs. KELLEY MARIE BOLTIN M.S. LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1083985733- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.S. LPC
- Status
- Active
Contact & Location
- Address
- 405 W BOXELDER RD STE C8, GILLETTE, WY, 827185320
- Phone
- (307) 689-4185
- Fax
- (307) 689-4185
Specialties & Taxonomies
Counselor, Professional
License: WY #1475
Counselor, Professional
Primary License: WY #LPC 1475