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Individual

JASON NICHOLAS BOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LCPC

Contact information

Practice address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 633-6128
Mailing address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 633-6128

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03504
KS
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Enumeration date
12/07/2023
Last updated
03/05/2025
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