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Fannie Bolden, AT
Counselor in Lake Village, Arkansas
NPI 1558518928

Fannie Bolden is a Counselor based in Springdale, AR. Fannie Bolden practices in Lake Village, AR and has the professional credentials of AT. The NPI Number for Fannie Bolden is 1558518928 and holds a License No. (Arkansas).

The current practice location address for Fannie Bolden is 608 S Highway 65 82, Lake Village, AR and can be reached out via phone at 870-265-3711 and via fax at 870-265-3707.

Location: 608 S Highway 65 82, Lake Village, AR, 72762-0737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558518928
Provider Name
Fannie Bolden
Credential
AT
Provider Entity Type
Individual
Gender
Female
Address
608 S Highway 65 82, Lake Village, AR, 72762-0737
Phone Number
870-265-3711
Fax Number
870-265-3707
Provider Enumeration Date
08/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
608 S Highway 65 82
City
Lake Village
State
Arkansas
Zip
71653-1743
Phone Number
870-265-3711
Fax Number
870-265-3707
person
Provider Business Mailing Address Details
Address
608 S Highway 65 82
City
Lake Village
State
Arkansas
Zip
71653-1743
Phone Number
870-265-3711
Fax Number
870-265-3707
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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