Individual
JUANITA BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC
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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