Individual
VICTORIA JUNE BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
217 COURT ST, WEST POINT, MS 39773-2926
(662) 494-7060
(662) 494-7533
Mailing address
PO BOX 1336, WEST POINT, MS 39773-1336
(662) 524-4347
(662) 524-4364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075
MS STATE BOARD OF LICENSED PROFESSIOANL COUNESLORS
MS
Enumeration date
09/03/2013
Last updated
11/07/2017
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