Individual
SUSAN BOELENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16636 PORTAGE ST, JUSTIN, TX 76247-2278
(916) 792-1359
Mailing address
16636 PORTAGE ST, JUSTIN, TX 76247-2278
(916) 792-1359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15136
TX
106H00000X
Marriage & Family Therapist
Primary
203501
TX
Other
Enumeration date
09/09/2021
Last updated
06/20/2025
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