Individual
JONATHAN BOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4250 AUBURN BLVD, SACRAMENTO, CA 95841-4100
(888) 965-6647
Mailing address
9343 TECH CENTER DR, SACRAMENTO, CA 95826-2563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
19215
MD
104100000X
Social Worker
Primary
97106
CA
Other
Enumeration date
12/19/2013
Last updated
12/08/2021
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