person
Jake Bolden JR., MSCFC,CJAS
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1992941603

Jake Bolden JR. is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Jake Bolden JR. practices in Philadelphia, PA and has the professional credentials of MSCFC,CJAS. The NPI Number for Jake Bolden JR. is 1992941603 and holds a License No. (Pennsylvania).

The current practice location address for Jake Bolden JR. is 1315 Windrim Ave, Philadelphia, PA and can be reached out via phone at 215-456-2691 and via fax at 215-456-4729.

Location: 1315 Windrim Ave, Philadelphia, PA, 19141-2710
person
Provider Profile Details
NPI Number
1992941603
Provider Name
Jake Bolden JR.
Credential
MSCFC,CJAS
Provider Entity Type
Individual
Gender
Male
Address
1315 Windrim Ave, Philadelphia, PA, 19141-2710
Phone Number
215-456-2691
Fax Number
215-456-4729
Provider Enumeration Date
12/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1315 Windrim Ave
City
State
Zip
19141-2710
Phone Number
215-456-2691
Fax Number
215-456-4729
person
Provider Business Mailing Address Details
Address
1315 Windrim Ave
City
State
Zip
19141-2710
Phone Number
215-456-2691
Fax Number
215-456-4729
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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