Individual
KATHRYN BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 513-3495
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 513-3495
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
3146
WV
101YM0800X
Mental Health Counselor
Primary
867
WV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/08/2022
Last updated
04/13/2026
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