Individual provider · Type 1 NPI

Charmel Bolster X

Mental Health Counselor · San Jacinto, CA

NPI number 1942591011 Active

Practice location

1370 S State St, Suite B
San Jacinto, CA 92583-4933

Fax (951) 791-3397

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942591011

Charmel Bolster X's National Provider Identifier is 1942591011, issued on Apr 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jacinto, CA. The record was last updated on Apr 25, 2011.