TRAVIS BOLDEN

LAKE CHARLES, LA
NPI1851812549
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-07-03
Last Update Date2022-07-21
Business Address
TRAVIS BOLDEN
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Mailing Address
TRAVIS BOLDEN
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586