Individual
JORDIN NICHOLE BOEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 105, PHOENIX, AZ 85037-2385
(516) 206-8900
Mailing address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
(516) 206-8900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CBT.CB.61681925
WA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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