Individual
LATOYA A BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3966 BRONX BLVD, BRONX, NY 10466-3504
(646) 391-1377
Mailing address
3966 BRONX BLVD, BRONX, NY 10466-3504
(646) 391-1377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1700412392
NJ
Other
Enumeration date
03/16/2020
Last updated
11/07/2024
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