MS. Bonnie A Kolmodin, LPCA, NCC, MA, MFT
NPI #1871141390 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1871141390
- Entity Type
- Individual
- Name
- MS. Bonnie A Kolmodin, LPCA, NCC, MA, MFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCA, NCC, MA, MFT
- Enumeration Date
- Aug 28, 2019
- Last Updated
- Aug 28, 2019
Practice Location
- Address
- 1439 THUNDERBOLT DR
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488-9341
- Phone
- (843) 538-4343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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