Sarah Leann Bolduc, CIT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Clarksville, AR
NPI 1396499299 · NPPES record last updated Feb 9, 2022
Key facts
- NPI
- 1396499299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CIT (AR)
- Practice address
- 313 S Rogers St
Clarksville, AR 72830-3741 - Phone
- (479) 705-0118
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CIT | AR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Haven Ministries, Inc. | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
313 S Rogers St
Clarksville, AR 72830
Phone (479) 705-0118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT | AR | Yes |
Addresses
Primary practice location
313 S Rogers St
Clarksville, AR 72830-3741
Mailing address
313 S Rogers St
Clarksville, AR 72830-3741
Phone (479) 705-0118
Other providers in Clarksville, AR
- Richard Kenneth Boardman
- Bobby Teeters Drug Store Inc
- Jeanne Carol Bobo
- Laiken Boen
- Michelle Bogges
- Shelby Bosken
- Erika Bosold
- Kathleen Bowen
- Bruce Brian
- Justin Brigman
All providers in Clarksville, AR · Addiction (Substance Use Disorder) Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.