| Erika D. Bosold, Pa | |
|
910 S Rogers St Ste G Clarksville AR 72830-4331 | |
| (479) 335-5747 | |
| (479) 957-9083 |
| Full Name | Erika D. Bosold, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 910 S Rogers St Ste G, Clarksville, Arkansas |
| Authorized Official Name and Position | Erika D Bosold (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8708782294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erika D. Bosold, Pa 1409 S Greenwich Ave Russellville AR 72801-6992 Ph: (870) 878-2294 | Erika D. Bosold, Pa 910 S Rogers St Ste G Clarksville AR 72830-4331 Ph: (479) 335-5747 |
| NPI Number | 1366136210 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366136210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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