Individual
LAURA THORNE BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, BCC
Contact information
Practice address
484 SUMMIT AVE, MILL VALLEY, CA 94941-4518
(415) 672-0307
Mailing address
484 SUMMIT AVE, MILL VALLEY, CA 94941-4518
(415) 672-0307
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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