Individual provider · Type 1 NPI

Jermaine Shigeru Bolden

Mental Health Counselor · Las Vegas, NV

NPI number 1043724172 Active

Practice location

8600 W Charleston Blvd Apt 1112
Las Vegas, NV 89117-5412

Call (702) 715-1304 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043724172

Jermaine Shigeru Bolden's National Provider Identifier is 1043724172, issued on Nov 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 28, 2017.