Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Burt Bolt, LCPC

Individual provider Professional Counselor · NPI 1649382706

Burt Bolt, LCPC is a Professional Counselor in Moline, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

2100 52nd Ave
Moline, IL 61265-6366
Phone: (309) 797-2900
Fax: (309) 797-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (IL)

Record details

NPI number1649382706
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 6, 2007
Mailing address2100 52nd Ave, Moline, IL 61265-6366

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