MS. BRENDA MARIE BOLDREY


Address: 1580 N Kolb Rd Ste 210, Tucson, AZ 85715-4933
Phone: 5209893101

MS. BRENDA MARIE BOLDREY (NPI# 1346584992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346584992
Entity Type Individual
Full Name MS. BRENDA MARIE BOLDREY
Credential MA LPC
Practice Address 1580 N Kolb Rd Ste 210
Tucson
AZ 85715-4933
Practice Telephone 5209893101
Mailing Telephone 5209893101
Enumeration Date 2012-11-20
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
000671 MO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC 15009 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1580 N KOLB RD STE 210
City TUCSON
State AZ
Zip Code 85715-4933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326101650 Steven Andrew Marrinson Psychologist 1580 N Kolb Rd Ste 210, Tucson, AZ 85715 2006-12-18
1801370614 Steven Marrinson Phd PC Psychologist 1580 N Kolb Rd Ste 210, Tucson, AZ 85715-4933 2018-09-18

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1891317665 Chris Ledyard Counselor 1150 N Sonoita Ave, Tucson, AZ 85712-5169 2020-05-14
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1689203036 Mary C Cahilly Counselor 2165 N Camino Agrios, Tucson, AZ 85715-5908 2020-04-07
1316575418 Gayla Lemley Counselor 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 2020-04-01
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Competitor

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City TUCSON
Zip Code 85715

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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