Individual
MS. ESTHER ABIGAIL BOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LADC
Contact information
Practice address
1818 E REZANOF DR, KODIAK, AK 99615-6505
(405) 757-7696
Mailing address
PO BOX 2104, KODIAK, AK 99615-2104
(405) 757-7696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1063
OK
101YP2500X
Professional Counselor
Primary
5008
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374260A
—
OK
Enumeration date
05/15/2007
Last updated
09/12/2025
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