Individual
BETH BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 RIVER LODGE TRL N, APARTMENT 239, FORT WORTH, TX 76116-0876
(817) 648-4000
Mailing address
3235 RIVER LODGE TRL N, APARTMENT 239, FORT WORTH, TX 76116-0876
(817) 648-4000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
72179
TX
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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