Lisa Bouma, MA LMFT
NPI #1265408017 in Grandville, Michigan
Provider Information
- NPI Number
- 1265408017
- Entity Type
- Individual
- Name
- Lisa Bouma, MA LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA LMFT
- Enumeration Date
- Feb 23, 2006
- Last Updated
- Jan 6, 2010
Practice Location
- Address
- 4320 44TH ST SW
- Address 2
- SUITE 103
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-2300
- Phone
- (616) 890-0883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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