Individual provider · Type 1 NPI
Alicia Boreman-Menke, LPC/CR
Counselor · Sylvania, OH
NPI number
1104205194
Active
Practice location
5647 Mayberry Square
Sylvania, OH 43560-9456
Mailing address
2555 Berdan Ave
Toledo, OH 43613-4805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | C.1400233-CR (OH) |
| Mental Health Counselor | 101YM0800X | C.1400233-CR (OH) |
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.
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About NPI 1104205194
Alicia Boreman-Menke, LPC/CR's National Provider Identifier is 1104205194, issued on May 22, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sylvania, OH. The record was last updated on May 22, 2015.