Individual
LINDA B BEARD-BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4565 CLOISTER CIR, HAMPTON, GA 30228-3644
(678) 575-6482
Mailing address
4565 CLOISTER CIR, HAMPTON, GA 30228-3644
(678) 575-6482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007346
GA
225XM0800X
Mental Health Occupational Therapist
LPC007346
NJ
Other
Enumeration date
07/10/2023
Last updated
11/18/2023
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