Individual
MRS. BEVERLY L BOATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
913 W HOLMES RD STE B146, LANSING, MI 48910-0426
(517) 394-0929
(866) 268-7774
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014380
MI
Other
Enumeration date
07/15/2014
Last updated
01/08/2019
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