Individual
MARIAH BOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 HEIGHTS BLVD, HOUSTON, TX 77008-4249
(972) 757-8468
Mailing address
1616 FOUNTAIN VIEW DR APT 507, HOUSTON, TX 77057-2529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
95627
TX
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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