Individual
AMANDA V BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3359 HORSE CAMP RD, COTTONWOOD, CA 96022-9246
(530) 524-5988
Mailing address
3359 HORSE CAMP RD, COTTONWOOD, CA 96022-9246
(530) 524-5988
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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