Individual
CHRIS BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2111 W PINHOOK RD, SUITE B, LAFAYETTE, LA 70508-1504
(337) 349-1767
(337) 214-0124
Mailing address
2111 W PINHOOK RD, SUITE B, LAFAYETTE, LA 70508-1504
(337) 349-1767
(337) 214-0124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10836
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133772
—
LA
Enumeration date
04/10/2006
Last updated
08/15/2011
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