Individual
SUSAN BOULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-0295
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-0295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
259975
KY
Other
Enumeration date
06/23/2015
Last updated
11/22/2019
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