Individual
MR. BRIAN EDWARD BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2919 17TH AVE STE 221C, LONGMONT, CO 80503-1650
(720) 340-1548
Mailing address
2919 17TH AVE STE 221C, LONGMONT, CO 80503-1650
(720) 340-1548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13539
CO
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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