Richard Bolton Valid NPI
Individual provider · Counselor · Anna, IL
- NPI
- 1487237152
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-04-30
- Last updated
- 2021-04-30
Practice location
800 N Main St
Anna, IL 62906-1665
(618) 833-4456