Jeanna Boase, LPC

NPI #1225690704 in Kentwood, Michigan

Provider Information

NPI Number: 1225690704
Entity Type: Individual
Name: Jeanna Boase, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jul 3, 2019
Last Updated: Jul 30, 2024

Practice Location

Address: 1401 60TH ST SE STE B
City: Kentwood
State: Michigan
ZIP Code: 49508-7065
Phone: (616) 947-3159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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