Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Bolden Jr., MSCFC, CJAS

Individual provider Mental Health Counselor · NPI 1992941603

Jake Bolden Jr., MSCFC, CJAS is a Mental Health Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1315 Windrim Ave
Philadelphia, PA 19141-2710
Phone: (215) 456-2691
Fax: (215) 456-4729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1992941603
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCFC , CJAS
Sole proprietorNo
NPI enumeratedDecember 30, 2008
Last updated in NPPESDecember 30, 2008

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