Individual
JOHN DAVID BOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,LPC,SACIT
Contact information
Practice address
1334 APPLEGATE RD, MADISON, WI 53713-3184
(608) 221-1500
Mailing address
5214 TOLMAN TER, MADISON, WI 53711-3661
(608) 310-9015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15064-130
WI
101YM0800X
Mental Health Counselor
3869-125
WI
Other
Enumeration date
05/01/2007
Last updated
11/30/2007
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