Individual
MS. BONNIE A KOLMODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, NCC, MA, MFT
Contact information
Practice address
1439 THUNDERBOLT DR, WALTERBORO, SC 29488-9341
(843) 538-4343
Mailing address
3143 CONSERVANCY LN, CHARLESTON, SC 29414-8111
(843) 670-0122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7147
SC
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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