Bolton, Jason Lee

Bolton, Jason Lee is an individual health care provider with primary practice located at 15339 Saticoy St , Van Nuys CA 91406-3345. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bolton, Jason Lee can be contacted via phone (818) 267-2623.

Contact Information

Primary practice address
15339 Saticoy St Van Nuys CA 91406-3345
Phone: (818) 267-2623
Fax: (818) 267-2665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY21293 California

Profile Details

NPI number 1346373925
LBN Legal business name Bolton, Jason Lee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 18 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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