Individual provider · Type 1 NPI

Lavonda Bouler

Mental Health Counselor · Jackson, MI

NPI number 1003735275 Active

Practice location

720 W Franklin St
Jackson, MI 49201-1674

Mailing address

126 Seymour Ave
Jackson, MI 49202-3558

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6451025053 (MI)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1003735275

Lavonda Bouler's National Provider Identifier is 1003735275, issued on Jul 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MI. The record was last updated on Jul 13, 2026.