JENNAH BOLTON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1790601391- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10 EQUALITY PARK W, NEWPORT, RI, 028402603
- Phone
- (401) 999-0609
Specialties & Taxonomies
Counselor, Mental Health
Primary License: RI
All Addresses
MAILING
10 EQUALITY PARK W
NEWPORT, RI, 028402603