Issac Luther Boose JR., LPC, LMFT
NPI #1992393318 in Richton, Mississippi
Provider Information
- NPI Number
- 1992393318
- Entity Type
- Individual
- Name
- Issac Luther Boose JR., LPC, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- LPC, LMFT
- Enumeration Date
- Jan 3, 2021
- Last Updated
- Jan 3, 2021
Practice Location
- Address
- 57 GRIFFIN RD
- City
- Richton
- State
- Mississippi
- ZIP Code
- 39476-9224
- Phone
- (601) 408-8828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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