Jeanna Boase, LLC

NPI #1952923500 in Kentwood, Michigan

Provider Information

NPI Number: 1952923500
Entity Type: Organization
Organization Name: Jeanna Boase, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 16, 2020
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

Authorized Official

Name: JEANNA BOASE, LLC
Title: CLINICIAN
Phone: (616) 947-3159

Specialties & Taxonomy Codes

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

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