Individual
KIRSTEN LEIGH BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LMFT
Contact information
Practice address
610 DRAGONFLY TRL, MOAB, UT 84532-3078
(435) 260-2019
Mailing address
610 DRAGONFLY TRL, MOAB, UT 84532-3078
(435) 260-2019
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7380157-3902
UT
106H00000X
Marriage & Family Therapist
992
CO
Other
Enumeration date
12/12/2011
Last updated
01/31/2024
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