MRS. Alicia Boreman-Menke, LPC/CR

NPI #1104205194 in Sylvania, Ohio

Provider Information

NPI Number: 1104205194
Entity Type: Individual
Name: MRS. Alicia Boreman-Menke, LPC/CR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC/CR
Enumeration Date: May 22, 2015
Last Updated: May 22, 2015

Practice Location

Address: 5647 MAYBERRY SQUARE
City: Sylvania
State: Ohio
ZIP Code: 43560-9456
Phone: (419) 819-8428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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