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NPI Code Detail

MEDICARE: MS. ESTHER ABIGAIL BOLD MA, LPC, LADC

MEDICARE: MS. ESTHER ABIGAIL BOLD MA, LPC, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1063OK
2101YP2500XProfessional Counselor5008OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891901187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ESTHER ABIGAIL BOLD MA, LPC, LADC
Provider Business Mailing Address
First Line : PO BOX 2104
Second Line :
City : KODIAK
State : AK
Zip : 99615-2104
Country : US
Telephone Number : 405-757-7696
Fax Number :
Provider Business Practice Location Address
First Line : 1818 E REZANOF DR
Second Line :
City : KODIAK
State : AK
Zip : 99615-6505
Country : US
Telephone Number : 405-757-7696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 09/12/2025

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