NPI 1063065365

Ricardo Durel Bolton, LCSW

Practitioner Clinical Social Worker Biloxi, MS

Practice location

Address: 400 Veterans Ave, Biloxi, MS 39531-2410
Phone: (228) 523-4783

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C8371 (MS)

Other Social Worker providers in Mississippi →

Registry record

NPI: 1063065365
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2019
Record last updated: 17 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.