Individual
JORDAN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 LAMAR AVE STE 160, PARIS, TX 75460-1402
(903) 715-0748
Mailing address
1849 LAMAR AVE STE 160, PARIS, TX 75460-1402
(903) 401-5311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204081
TX
Other
Enumeration date
06/08/2023
Last updated
06/12/2024
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