Individual
MRS. CHARDAY MARIE BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS-A
Contact information
Practice address
2709 BLUE RIDGE RD STE 190, RALEIGH, NC 27607-6462
(919) 877-6458
Mailing address
2709 BLUE RIDGE RD STE 190, RALEIGH, NC 27607-6462
(919) 877-6458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23856
NC
101YM0800X
Mental Health Counselor
Primary
A13002
NC
Other
Enumeration date
01/02/2015
Last updated
07/02/2025
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