Individual
AMANDA JOHNSON BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1058 WESTO ST, NORTH AUGUSTA, SC 29841-3795
(706) 831-1461
Mailing address
1058 WESTO ST, NORTH AUGUSTA, SC 29841-3795
(706) 831-1461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
007929
GA
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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