Individual
ANNA BOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 TACOMA ST, GRANTS PASS, OR 97526-9370
(541) 476-3302
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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