Individual
CLARE AGNES BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
110 WALT HAVEN DR, LEICESTER, NC 28748-6477
(828) 226-6180
Mailing address
110 WALT HAVEN DR, LEICESTER, NC 28748-6477
(828) 226-6180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A16248
NC
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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