Individual provider · NPI-1

Adam Boltz, MA, LMFT

Marriage & Family Therapist · Gilbert, AZ

NPI number1508578014
StatusActive
Last updated in NPPESDec 15, 2022

Details

NPI
1508578014
Entity type
Individual (NPI-1)
Name
Adam Boltz
Credential
MA, LMFT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 15, 2022
Certification date
Dec 15, 2022
Last updated
Dec 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistLMFT-15662AZYes

Practice location

880 N Colorado St
Gilbert, AZ 85233-3419

Phone 480-820-0825

Mailing address

2958 E Hope St
Mesa, AZ 85213

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