| Doctor Name: | MS. CAROLYN B BOLES |
| NPI Number: | 1215910807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | LPC 2044 |
| Business Practice Address: | 9508 E Riggs Rd Suite Mc263 Sun Lakes, AZ - 852487531 |
| Business Phone Number: | 4808952010 |
| Business Fax Number: | |
| Mailing Address: | 9508 E Riggs Rd, Suite Mc263 SUN LAKES |
| State: | AZ |
| Postal Code: | 852487531 |
| Phone Number: | 4808952010 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 2044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |