Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MATINA BOLSTER, LPC
ActiveMRS. MATINA BOLSTER, LPC is a Counselor healthcare provider located in COEUR D ALENE, Idaho. NPI 1174075030 is currently active in the NPPES registry. Verify at CMS.
Counselor · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1174075030
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2016 (9.7759314805896 yrs)
- Last Updated
- Oct 26, 2016
- License
-
LPC-6045 (ID)
Practice Information
- Address
-
1200 W IRONWOOD DRCOEUR D ALENE, ID, 838142660Browse ID providers · Browse ZIP 83814
- Phone
- 2086649729
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE R BERTHON | M.A. | 1356420830 |
| MELISSA MORIN | — | 1073672283 |
| MARK WALTER CORNELIUS | M.S., M.A. LCPC | 1649324203 |
| LINDA LEER STRAHAN | M.ED. LCPC | 1861546863 |
| ROBERT JOSEPH HENNINGER | M.ED. LCPC | 1366597296 |
| SUSAN NASSER RECORD | LPC | 1740509744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.