Individual
DEAN MICHAEL BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
13109 FOREST DR, BOWIE, MD 20715-4396
(240) 281-3608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC200001921
DC
Other
Enumeration date
05/09/2025
Last updated
05/13/2025
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