Individual
CRAIG DENNIS BOESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
600 EARLINE RD, DOTHAN, AL 36305-4226
(334) 333-4822
Mailing address
600 EARLINE RD, DOTHAN, AL 36305-4226
(334) 333-4822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2515
AL
101YP2500X
Professional Counselor
Primary
2515
AL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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