Individual
ANDREA MARIE BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2394
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10400-125
WI
101YP2500X
Professional Counselor
Primary
10400
WI
Other
Enumeration date
12/11/2023
Last updated
01/26/2024
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