Organization
BOLTON THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESYREE ALLISON DIXON LCSW-C (THERAPIST)
(703) 587-6738
Entity
Organization
Contact information
Practice address
1534 BOLTON ST STE 1, BALTIMORE, MD 21217-4203
(703) 568-7398
Mailing address
1534 BOLTON ST STE 1, BALTIMORE, MD 21217-4203
(703) 568-7398
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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