SearchVirginia1041C0700X

Brandon Boltinghouse, LCSW

NPI 1861235921 · on the registry since 2024 · sole proprietor

Practice

Address
903 Totten Rd
Woodbridge, VA 22191
Phone
(217) 493-2996

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia