Individual provider · Type 1 NPI
Jo-Anna Elizabeth Boutwell
Counselor · Vidalia, GA
NPI number
1023902012
Active
Practice location
204 Durden St
Vidalia, GA 30474-4608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | MFT002127 (GA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
Other counselor providers in Vidalia
About NPI 1023902012
Jo-Anna Elizabeth Boutwell's National Provider Identifier is 1023902012, issued on Jun 5, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vidalia, GA. The record was last updated on Jun 5, 2025.