Individual
GARRET MICHAEL BOLTHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MCFC, LPC, NCC
Contact information
Practice address
2295 W MAGEE RD UNIT 105, TUCSON, AZ 85742-4316
(520) 257-1168
(520) 306-4861
Mailing address
PO BOX 91638, TUCSON, AZ 85752-1638
(520) 275-3506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-23548
AZ
Other
Enumeration date
01/28/2022
Last updated
12/30/2024
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