Erica D Bolston, | |
1040 Barclay Dr, Madison, GA 30650-4621 | |
(706) 438-3003 | |
Not Available |
Full Name | Erica D Bolston |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1040 Barclay Dr, Madison, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578264354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Erica D Bolston, 157 Walt Ct Nw, Milledgeville, GA 31061-8618 Ph: () - | Erica D Bolston, 1040 Barclay Dr, Madison, GA 30650-4621 Ph: (706) 438-3003 |
Mrs. Shontell Monik White, MASTER'S LEVEL Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Barclay Dr, Madison, GA 30650 Phone: 706-438-3003 | |
Marianne Cole, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Barclay Dr, Madison, GA 30650 Phone: 706-438-3003 |