Individual
JEANNA BOASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1401 60TH ST SE STE B, KENTWOOD, MI 49508-7065
(616) 947-3159
Mailing address
1401 60TH ST SE STE B, KENTWOOD, MI 49508-7065
(616) 947-3159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015946
MI
Other
Enumeration date
07/03/2019
Last updated
07/30/2024
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