Individual
MR. MICHAEL GEORGE BOSWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3260 N HAYDEN RD, SUITE 101, SCOTTSDALE, AZ 85251-6649
(480) 804-0326
Mailing address
9622 N 19TH ST, PHOENIX, AZ 85020-2320
(602) 312-9112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
963852
—
AZ
Enumeration date
05/17/2007
Last updated
07/09/2007
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