Provider Information for 1891901187
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Ms. ESTHER ABIGAIL BOLD MA, LPC, LADC
Other Names:Former Name:Ms. ESTHER ABIGAIL BOLD MA, LPC, LADCSex: Female
NPI: 1891901187
Last Updated: 2023-06-19
Certification Date: 2023-06-19
Certification Date: 2023-06-19
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1891901187 | |||||||||||||||||||||
| Enumeration Date | 2007-05-15 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | PO BOX 2104 KODIAK, AK 99615-2104 United States Phone: 405-757-7696 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 1818 E REZANOF DR KODIAK, AK 99615-6505 United States Phone: 405-757-7696 | Fax: | |||||||||||||||||||||
| Secondary Practice Address(es) | 1360 S FRETZ DR STE 107 | |||||||||||||||||||||
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