Individual
MS. JESSI NICOLE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A,
Contact information
Practice address
1300 HUDSON LN, STE 10, MONROE, LA 71201-6066
(318) 322-6500
(318) 322-5118
Mailing address
1103 HUDSON LN, MONROE, LA 71201-6035
(318) 322-6500
(318) 322-5118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5683
LA
106H00000X
Marriage & Family Therapist
1221
LA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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