Individual
MICHELLE RAE BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-T
Contact information
Practice address
103 E STATE ST STE 301, MASON CITY, IA 50401-3309
(641) 421-2089
(641) 450-0030
Mailing address
103 E STATE ST STE 301, MASON CITY, IA 50401-3309
(641) 421-2089
(641) 450-0030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101349
IA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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