Individual provider · NPI-1

India Monaye Bolden

Counselor, Mental Health · Rocky Mount, NC

NPI number1225843279
StatusActive
Last updated in NPPESFeb 7, 2025

Details

NPI
1225843279
Entity type
Individual (NPI-1)
Name
India Monaye Bolden
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2025
Certification date
Feb 7, 2025
Last updated
Feb 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthA20933NCYes

Practice location

58 Azimuth Ct
Rocky Mount, NC 27804-3102

Phone 252-231-1341

Mailing address

4105 Huntsmoor Ln
Wilson, NC 27896-8695

Phone 252-290-7618

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