Individual
MS. AUDRA BOXMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,CCMHC,NCC,CTMH
Contact information
Practice address
2574 COMMERCE PKWY, NORTH PORT, FL 34289-9334
(941) 485-0121
(941) 485-0591
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(941) 485-0121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11321
FL
Other
Enumeration date
10/07/2009
Last updated
09/01/2021
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