Individual provider · Type 1 NPI

Regina Bomar

Professional Counselor · Southfield, MI

NPI number 1053509141 Active

Practice location

23640 Oak Glen Dr
Southfield, MI 48033-3497

Call (248) 479-1007 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401007471 (MI)

Professional Counselor: Definition to come...

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About NPI 1053509141

Regina Bomar's National Provider Identifier is 1053509141, issued on Oct 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southfield, MI. The record was last updated on Oct 15, 2007.