MISS Charmel Bolster X
NPI #1942591011 in San Jacinto, California
Provider Information
- NPI Number
- 1942591011
- Entity Type
- Individual
- Name
- MISS Charmel Bolster X
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 25, 2011
- Last Updated
- Apr 25, 2011
Practice Location
- Address
- 1370 S STATE ST
- Address 2
- SUITE B
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4933
- Phone
- (951) 791-3550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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