Individual
SHONA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
800 E 86TH AVE STE B, MERRILLVILLE, IN 46410-6270
(219) 595-0043
Mailing address
800 E 86TH AVE STE B, MERRILLVILLE, IN 46410-6270
(219) 595-0043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001393A
IN
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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