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Individual

JOHNPAUL C BOULDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., LPC

Contact information

Practice address
1006 PARIS AVE, PORT ROYAL, SC 29935-2442
(843) 277-6779
Mailing address
1006 PARIS AVE, PORT ROYAL, SC 29935-2418
(843) 277-6779

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7121
SC

Other

Enumeration date
08/15/2022
Last updated
04/23/2026
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