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Individual

JARRETT B BOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004622
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000606317B
GA
Enumeration date
10/11/2006
Last updated
07/08/2007
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