Individual
CARLA BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, NCC, CCTP
Contact information
Practice address
2813 EASTOVER NORTH DR FAYETTEVILLE NC 28312-6705, FAYETTEVILLE, NC 28312
(470) 571-6706
Mailing address
2813 EASTOVER NORTH DR, FAYETTEVILLE, NC 28312-3981
(470) 571-6706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16811
NC
Other
Enumeration date
08/08/2018
Last updated
10/25/2024
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