Individual
CAROLYN R BOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC, LPC
Contact information
Practice address
126 E 2ND ST, CHILLICOTHE, OH 45601-2593
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII-161321
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162231
OH
101YP2500X
Professional Counselor
C.2103914
OH
Other
Enumeration date
11/07/2014
Last updated
02/17/2022
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