Individual
AKEYA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
3212 64TH AVE N, BROOKLYN CENTER, MN 55429
(763) 670-2216
Mailing address
3212 64TH AVE N, BROOKLYN CENTER, MN 55429-2237
(763) 670-2216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304166
MN
101YP2500X
Professional Counselor
Primary
1615
MN
Other
Enumeration date
09/05/2017
Last updated
10/08/2018
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