Bolton, Jane
Bolton, Jane is an sole proprietor health care provider with primary practice located at 4230 Overland Ave , Culver City CA 90230-3736. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bolton, Jane can be contacted via phone (310) 838-6363.Contact Information
Primary practice address
4230 Overland Ave
Culver City CA 90230-3736
Phone: (310) 838-6363
Fax: (310) 838-6363
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC34888 | California |
Profile Details
NPI number | 1871655522 |
---|---|
LBN Legal business name | Bolton, Jane |
Credentials | PSY.D., M.F.T. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871655522 | NPPES |
California | Other | 106H00000X | MFT |
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