Most Relevant Information
Provider Data
| NPI Number: | 1003523531 |
| Provider Name: | SURESH E BOLEM LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 79033 |
Most Important Dates
| Enumeration Date: | 11/03/2022 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
2640 REDCEDAR DR
LITTLE ELM
TX
750686604
Practice Location Phone/Fax
| Phone: | 9723756843 |
| Fax: |
Provider Mailing Location
2640 REDCEDAR DR
LITTLE ELM
TX
750686604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |