Individual
MS. RACHEL BETH BOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 329-4326
Mailing address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 329-4326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2021050569
MO
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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