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Organization
BOLT COUNSELING SERVICES
Active
Organization
BOLT COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY BEARSS LPC (OWNER, COUNSELOR)
(228) 382-3138
Entity
Organization
Contact information
Practice address
1921 24TH AVE, GULFPORT, MS 39501-2976
(228) 382-3138
(228) 382-3138
Mailing address
1921 24TH AVE, GULFPORT, MS 39501-2976
(282) 382-3138
(228) 382-3138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2229
MS
Other
Enumeration date
05/01/2018
Last updated
03/11/2020
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