Individual
MR. KEVIN LEE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP, MT-BC
Contact information
Practice address
745 S CHURCH ST STE 805, MURFREESBORO, TN 37130-4983
(615) 624-4481
Mailing address
745 S CHURCH ST STE 805, MURFREESBORO, TN 37130-4983
(615) 624-4481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000005266
TN
101YP2500X
Professional Counselor
LPC0000005266
TN
225A00000X
Music Therapist
—
—
Other
Enumeration date
03/28/2011
Last updated
04/30/2025
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