Kellie Bouldin, LPC

NPI #1124482328 in Cheyenne, Wyoming

Provider Information

NPI Number: 1124482328
Entity Type: Individual
Name: Kellie Bouldin, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Apr 13, 2016
Last Updated: Oct 9, 2024

Practice Location

Address: 2617 E LINCOLNWAY STE G
City: Cheyenne
State: Wyoming
ZIP Code: 82001-5671
Phone: (307) 514-1288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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