Individual
MRS. KELLEY MARIE BOLTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LPC
Contact information
Practice address
405 W BOXELDER RD STE C8, GILLETTE, WY 82718-5320
(307) 689-4185
(307) 689-4185
Mailing address
113 S GILLETTE AVE STE 242, GILLETTE, WY 82716-3741
(307) 689-9090
(307) 363-4339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1475
WY
101YP2500X
Professional Counselor
Primary
LPC 1475
WY
Other
Enumeration date
01/25/2012
Last updated
07/01/2020
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