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Individual

ERIKA BOSOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
910 S ROGERS ST STE G, CLARKSVILLE, AR 72830-4331
(479) 335-5747
(479) 957-9083
Mailing address
1409 S GREENWICH AVE, RUSSELLVILLE, AR 72801-6992
(870) 878-2294

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1912186
AR
101YP2500X
Professional Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
12/30/2013
Last updated
06/16/2023
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