Individual
MS. ELIZABETH LORENE BOLTHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MS LPC
Contact information
Practice address
794 PINE ST STE 220K, MUSKEGON, MI 49442-1020
(231) 740-8774
Mailing address
2743 HENRY ST, PMB 223, MUSKEGON, MI 49441
(231) 740-8774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008963
MI
Other
Enumeration date
06/01/2007
Last updated
07/12/2022
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