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SANDRA BOULTON

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1326404476

Individual Registrant:
 SANDRA  BOULTON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
267 6TH ST  MEEKER, CO 81641 US
Tel: 970-878-5112  Fax: --

Contact information for business:
715 HORIZON DR SUITE 225 GRAND JUNCTION, CO 81506-8700 US
Tel: --  Fax: --

Registration Information:
NPI: 1326404476
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CO - Page 1

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