Individual provider · Type 1 NPI

Kelley Marie Boltin, M.S. LPC

Professional Counselor · Gillette, WY

NPI number 1083985733 Active

Practice location

405 W Boxelder Rd Ste C8
Gillette, WY 82718-5320

Call (307) 689-4185 Map

Fax (307) 689-4185

Mailing address

113 S Gillette Ave Ste 242
Gillette, WY 82716-3741

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1475 (WY)
Professional Counselor Primary 101YP2500XLPC 1475 (WY)

Professional Counselor: Definition to come...

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About NPI 1083985733

Kelley Marie Boltin, M.S. LPC's National Provider Identifier is 1083985733, issued on Jan 25, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gillette, WY. The record was last updated on Jul 1, 2020.