Bolton, Tara

Bolton, Tara is an individual health care provider with primary practice located at 17 Kennedy Dr , Putnam CT 06260-1939. 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, Tara can be contacted via phone (860) 821-2985.

Contact Information

Primary practice address
17 Kennedy Dr Putnam CT 06260-1939
Phone: (860) 821-2985
Fax: (860) 821-2988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 002057 Connecticut

Profile Details

NPI number 1255979704
LBN Legal business name Bolton, Tara
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 6 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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