Individual
CARMEN LIDIA BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9206 HOLLOW BEND DR, HUNTERSVILLE, NC 28078-5095
(305) 707-8615
Mailing address
9206 HOLLOW BEND DR, HUNTERSVILLE, NC 28078-5095
(305) 707-8615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15890
CA
101YM0800X
Mental Health Counselor
Primary
16651
NC
101YM0800X
Mental Health Counselor
88155
TX
101YM0800X
Mental Health Counselor
MH13466
FL
101YP2500X
Professional Counselor
LPC009873
GA
Other
Enumeration date
08/20/2018
Last updated
03/20/2024
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