Bolton, Judy
Bolton, Judy is an individual health care provider with primary practice located at 1502 E Airline Rd Suite 25, Victoria TX 77901-4154. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bolton, Judy can be contacted via phone (361) 575-0611.Contact Information
Primary practice address
1502 E Airline Rd Suite 25
Victoria TX 77901-4154
Phone: (361) 575-0611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 19203 | Texas |
Profile Details
| NPI number | 1750365946 |
|---|---|
| LBN Legal business name | Bolton, Judy |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jun 3rd, 2014 - about 10 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 | 1750365946 | NPPES |
| Texas | MEDICAID | 168640401 |
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