Individual
JUANITA BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC
Contact information
Practice address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 561-5100
(313) 565-0309
Mailing address
119 SW MAYNARD RD STE 200, CARY, NC 27511-4472
(919) 822-8286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18537
NC
101YM0800X
Mental Health Counselor
6401016405
MI
101YP2500X
Professional Counselor
Primary
6401016405
MI
Other
Enumeration date
09/28/2017
Last updated
05/08/2026
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