Individual
SHANEKA R BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3149
MS
Other
Enumeration date
09/27/2019
Last updated
07/09/2024
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