Jo-Anna Elizabeth Boutwell

NPI #1023902012 in Vidalia, Georgia

Provider Information

NPI Number: 1023902012
Entity Type: Individual
Name: Jo-Anna Elizabeth Boutwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 5, 2025
Last Updated: Jun 5, 2025

Practice Location

Address: 204 DURDEN ST
City: Vidalia
State: Georgia
ZIP Code: 30474-4608
Phone: (912) 253-6595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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