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Individual

CHERYL SOOZI BOLTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MC

Contact information

Practice address
8035 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 236-6682
(480) 619-4150
Mailing address
14815 E LOOKOUT LEDGE, FOUNTAIN HILLS, AZ 85268-6408
(480) 236-6682
(480) 619-4150

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 10915
AZ
101YP2500X
Professional Counselor
Primary
LPC 10982
AZ

Other

Enumeration date
02/01/2010
Last updated
02/01/2010
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