Individual provider · Type 1 NPI

Johnathan Boonstra

Counselor · Traverse City, MI

NPI number 1215485347 Active

Practice location

105 Hall St
Traverse City, MI 49684-2288

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1215485347

Johnathan Boonstra's National Provider Identifier is 1215485347, issued on Sep 19, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Traverse City, MI. The record was last updated on Sep 19, 2016.