Individual provider · Type 1 NPI
Jessica Boerema, LLPC
Professional Counselor · St. Johns, MI
NPI number
1164375994
Active
Practice location
2997 Avery Rd
St. Johns, MI 48879-8007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6451024889 (MI) |
Professional Counselor: Definition to come...
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About NPI 1164375994
Jessica Boerema, LLPC's National Provider Identifier is 1164375994, issued on Feb 19, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Johns, MI. The record was last updated on Feb 19, 2026.