Individual
MS. CAROLYN B BOLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9508 E RIGGS RD, SUITE MC263, SUN LAKES, AZ 85248-7531
(480) 895-2010
Mailing address
9508 E RIGGS RD, SUITE MC263, SUN LAKES, AZ 85248-7531
(480) 895-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 2044
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC2044
STATE LICENSE
AZ
Enumeration date
11/28/2005
Last updated
07/08/2007
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