Individual
MR. SIDNEY ROSS BOHANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA. LLPC.
Contact information
Practice address
29600 PICKFORD, LIVONIA, MI 48152-3464
(248) 242-2055
Mailing address
29600 PICKFORD, LIVONIA, MI 48152-3464
(248) 242-2055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022153
MI
Other
Enumeration date
07/22/2022
Last updated
11/11/2023
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