person
Burt Bolt, LCPC
Professional Counselor in Moline, Illinois
NPI 1649382706

Burt Bolt is a Professional Counselor based in Moline, IL and is specialized in Professional. Burt Bolt practices in Moline, IL and has the professional credentials of LCPC. The NPI Number for Burt Bolt is 1649382706 and holds a License No. (Illinois).

The current practice location address for Burt Bolt is 2100 52Nd Ave, Moline, IL and can be reached out via phone at 309-797-2900 and via fax at 309-797-2147.

Location: 2100 52Nd Ave, Moline, IL, 61265-6366
person
Provider Profile Details
NPI Number
1649382706
Provider Name
Burt Bolt
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
2100 52Nd Ave, Moline, IL, 61265-6366
Phone Number
309-797-2900
Fax Number
309-797-2147
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2100 52Nd Ave
City
State
Zip
61265-6366
Phone Number
309-797-2900
Fax Number
309-797-2147
person
Provider Business Mailing Address Details
Address
2100 52Nd Ave
City
State
Zip
61265-6366
Phone Number
309-797-2900
Fax Number
309-797-2147
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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