Doctor Name: | MRS. ANN MARIE BOLTON |
NPI Number: | 1699895276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 61425 |
Business Practice Address: | 111 Houston St Tomball, TX - 773754759 |
Business Phone Number: | 2812559922 |
Business Fax Number: | 2812559064 |
Mailing Address: | 14639 S Hearthstone Green Dr, HOUSTON |
State: | TX |
Postal Code: | 770953567 |
Phone Number: | 2814632688 |
Fax Number: | 2812559064 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 61425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |