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Johnpaul C Boulden, MED,LPC
Counselor in Port Royal, South Carolina
NPI 1053049205

Johnpaul C Boulden is a Counselor based in Port Royal, SC. Johnpaul C Boulden practices in Port Royal, SC and has the professional credentials of MED,LPC. The NPI Number for Johnpaul C Boulden is 1053049205 and holds a License No. 7121 (South Carolina).

The current practice location address for Johnpaul C Boulden is 1001 Paris Ave, Port Royal, SC and can be reached out via phone at 843-277-6779.

Location: 1001 Paris Ave, Port Royal, SC, 29935-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053049205
Provider Name
Johnpaul C Boulden
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Male
Address
1001 Paris Ave, Port Royal, SC, 29935-2442
Phone Number
843-277-6779
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 Paris Ave
City
Port Royal
State
South Carolina
Zip
29935-2442
Phone Number
843-277-6779
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Paris Ave
City
Port Royal
State
South Carolina
Zip
29935-2442
Phone Number
843-277-6779
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
7121 (South Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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