MRS. Cristine Brenda Bolley, MA LPC NCC

NPI #1295018638 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1295018638
Entity Type
Individual
Name
MRS. Cristine Brenda Bolley, MA LPC NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
MA LPC NCC
Enumeration Date
Sep 22, 2011
Last Updated
Jul 30, 2015

Practice Location

Address
1175 S ASPEN AVE
Address 2
STE J
ZIP Code
74012-4800
Phone
(918) 850-2747

Specialties & Taxonomy Codes

Specialty
Counselor

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