TIMOTHY IRVIN BOLEN

COVINGTON, GA
NPI1649770025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC005921)
Enumeration Date2018-02-13
Last Update Date2018-06-16
Business Address
TIMOTHY IRVIN BOLEN LPC
141 HIGHWAY 142
COVINGTON, GA 30014-4857
Phone number: 770-658-9012
Mailing Address
TIMOTHY IRVIN BOLEN LPC
2320 MOUNT ZION RD
OXFORD, GA 30054-2626
Phone number: 770-658-9012
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