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Elijah Bolton
Mental Health Counselor in Edmonds, Washington
NPI 1093909988

Elijah Bolton is a Mental Health Counselor based in Edmonds, WA and is specialized in Mental Health. Elijah Bolton practices in Edmonds, WA. The NPI Number for Elijah Bolton is 1093909988 and holds a License No. RC00058756 (Washington).

The current practice location address for Elijah Bolton is 19207 80Th Pl W, Edmonds, WA and can be reached out via phone at 425-697-4201.

Location: 19207 80Th Pl W, Edmonds, WA, 98026-6218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093909988
Provider Name
Elijah Bolton
Credential
Provider Entity Type
Individual
Gender
Male
Address
19207 80Th Pl W, Edmonds, WA, 98026-6218
Phone Number
425-697-4201
Fax Number
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19207 80Th Pl W
City
Edmonds
State
Washington
Zip
98026-6218
Phone Number
425-697-4201
Fax Number
person
Provider Business Mailing Address Details
Address
19207 80Th Pl W
City
Edmonds
State
Washington
Zip
98026-6218
Phone Number
425-697-4201
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
RC00058756 (Washington)
Definition
Definition to come...
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