NPI 1023377371 · live from the CMS NPI Registry
Brittney R Bolden, M.S.
Marriage & Family Therapist in Evanston, IL. National Provider Identifier 1023377371, active.
NPI record
| NPI | 1023377371 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 618 Library Pl, Evanston, IL 60201 |
| Practice phone | 847-733-4300 |
| Mailing address | 7512 N Eastlake Ter Apt 1w, Chicago, IL 60626 |
| Enumerated | May 7, 2012 |
| Last updated | May 7, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 0921-14-5878 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.