Individual
MICHAEL EDWARD BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Mailing address
66 E 3RD ST, 201, WINONA, MN 55987-3478
(507) 452-7292
(507) 457-9887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3451-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40947100
—
WI
Enumeration date
04/17/2008
Last updated
04/17/2008
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