Individual provider · Type 1 NPI

Shane Bolton

Counselor · Alexandria, LA

NPI number 1003368457 Active

Practice location

1450 Peterman Dr Ste A
Alexandria, LA 71301-3432

Call (318) 473-4328 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003368457

Shane Bolton's National Provider Identifier is 1003368457, issued on Nov 2, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Alexandria, LA. The record was last updated on Nov 2, 2016.