Burt Bolt, LCPC

NPI #1649382706 in Moline, Illinois

Provider Information

NPI Number
1649382706
Entity Type
Individual
Name
Burt Bolt, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Aug 31, 2006
Last Updated
Dec 6, 2007

Practice Location

Address
2100 52ND AVE
City
Moline
ZIP Code
61265-6366
Phone
(309) 797-2900

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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