Individual provider · Type 1 NPI

Jake Bolden Jr., M.S. CFC, CJAS.

Mental Health Counselor · Philadelphia, PA

NPI number 1992941603 Active

Practice location

1315 Windrim Ave
Philadelphia, PA 19141-2710

Call (215) 456-2691 Map

Fax (215) 456-4729

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992941603

Jake Bolden Jr., M.S. CFC, CJAS.'s National Provider Identifier is 1992941603, issued on Dec 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 30, 2008.