Individual
ERIC FRANCIS BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
314 CLIFTON AVE STE 200C, MINNEAPOLIS, MN 55403-3226
(612) 454-9798
Mailing address
3023 LYNN AVE, APT 25, ST LOUIS PARK, MN 55416-4040
(612) 454-9798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460673600
—
MN
Enumeration date
09/21/2006
Last updated
06/13/2022
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