Individual
DR. MARK E. BOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1903 GADSDEN ST, PALMETTO COUNSELING ASSOCIATES, LLC, COLUMBIA, SC 29201-2346
(803) 254-9767
(803) 254-9740
Mailing address
17 WHEATSTONE, COLUMBIA, SC 29229-9029
(803) 699-8193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
706
SC
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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