Theresa Susan Boesch, BS

NPI #1164715603 in Ashland, Oregon

Provider Information

NPI Number: 1164715603
Entity Type: Individual
Name: Theresa Susan Boesch, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BS
Enumeration Date: May 17, 2011
Last Updated: May 17, 2011

Practice Location

Address: 1836 FREMONT ST
City: Ashland
State: Oregon
ZIP Code: 97520-2537
Phone: (541) 482-5792

Specialties & Taxonomy Codes

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

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