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Individual

MR. KARLTON S BOLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADAC II

Contact information

Practice address
45 RUTLEDGE ST, NASHVILLE, TN 37210-2042
(615) 428-6148
Mailing address
903 W EASTLAND AVE, NASHVILLE, TN 37206-3531
(615) 428-6148

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1308
TN

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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