Bolden-Mccoy, Aqueelah F

Bolden-Mccoy, Aqueelah F is an individual health care provider with primary practice located at 620 Ne 2Nd St , Gresham OR 97030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bolden-Mccoy, Aqueelah F can be contacted via phone (971) 274-3757.

Contact Information

Primary practice address
620 Ne 2Nd St Gresham OR 97030
Phone: (971) 274-3757
Fax: (503) 912-5740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG60487815 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X THW000002697 Oregon

Profile Details

NPI number 1639556962
LBN Legal business name Bolden-Mccoy, Aqueelah F
Credentials PSS
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2015
Last updated Apr 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers