person
Larry Arnold Boldman
Addiction (Substance Use Disorder) Counselor in Portsmouth, Ohio
NPI 1326634924

Larry Arnold Boldman is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Larry Arnold Boldman practices in Portsmouth, OH. The NPI Number for Larry Arnold Boldman is 1326634924 and holds a License No. QMHS.MASTERS (Ohio).

The current practice location address for Larry Arnold Boldman is 1907 11Th St, Portsmouth, OH and can be reached out via phone at 513-941-4999 and via fax at 513-694-0168. You can also correspond with Larry Arnold Boldman through the mailing address at 6460 HARRISON AVE STE 200, CINCINNATI, OH - 45247-7958 (mailing address contact number: 513-941-4999).

Location: 1907 11Th St, Portsmouth, OH, 45247-7958
person
Provider Profile Details
NPI Number
1326634924
Provider Name
Larry Arnold Boldman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1907 11Th St, Portsmouth, OH, 45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
Provider Enumeration Date
12/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0441111 05 OH
institution
Provider Business Practice Location Address Details
Address
1907 11Th St
City
State
Zip
45662-4531
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider Business Mailing Address Details
Address
6460 Harrison Ave Ste 200
City
State
Zip
45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDCII.161861 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
APS.002206 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
QMHS.MASTERS (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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