Individual
COURTNEY M BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4520
(405) 605-8488
(888) 877-9894
Mailing address
514 MILLER AVE, NORMAN, OK 73069-5930
(405) 650-8155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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