Individual
JEFFREY BOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-6889
Mailing address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-6889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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