JESSICA R BOULTER

MODESTO, CA
NPI1770276859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
JESSICA R BOULTER
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-284-0970
Mailing Address
JESSICA R BOULTER
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-284-0970