Individual
TRAMENIA SHAVON BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
202 GENERAL GARDNER AVE, LAFAYETTE, LA 70501-7824
(337) 232-9457
(337) 232-9459
Mailing address
202 GENERAL GARDNER AVE, LAFAYETTE, LA 70501-7824
(337) 232-9457
(337) 232-9459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8182
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/17/2017
Last updated
06/02/2023
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