Individual
DR. VERNETTA BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1116 PARKS BLVD, JACKSON, MS 39212-3243
(601) 624-1524
Mailing address
1116 PARKS BLVD, JACKSON, MS 39212-3243
(601) 624-1524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1825
MS
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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