Individual
BEVERLY BOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
550 DOVE CT, KISSIMMEE, FL 34759-4414
(484) 602-4807
Mailing address
550 DOVE CT, KISSIMMEE, FL 34759-4414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
PA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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