Boles, Carolyn B

Boles, Carolyn B is an individual health care provider with primary practice located at 9508 E Riggs Rd Suite Mc263, Sun Lakes AZ 85248-7531. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boles, Carolyn B can be contacted via phone (480) 895-2010.

Contact Information

Primary practice address
9508 E Riggs Rd Suite Mc263 Sun Lakes AZ 85248-7531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 2044 Arizona

Profile Details

NPI number 1215910807
LBN Legal business name Boles, Carolyn B
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215910807 NPPES
Arizona Other LPC2044 STATE LICENSE

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