Individual
WENDY BOLT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2900 TYLER RD, CHRISTIANSBURG, VA 24073-6374
(540) 731-7311
Mailing address
1712 DOWNEY ST, RADFORD, VA 24141-1618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701-003522
VA
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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