Individual provider · Type 1 NPI

Timothy Irvin Bolen, LPC

Professional Counselor · Covington, GA

NPI number 1649770025 Active

Practice location

141 Highway 142
Covington, GA 30014-4857

Call (770) 658-9012 Map

Mailing address

2320 Mount Zion Rd
Oxford, GA 30054-2626

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC005921 (GA)

Professional Counselor: Definition to come...

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About NPI 1649770025

Timothy Irvin Bolen, LPC's National Provider Identifier is 1649770025, issued on Feb 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covington, GA. The record was last updated on Jun 16, 2018.