Individual provider · Type 1 NPI
Michael Allen Boticki, PhD
Professional Counselor · Racine, WI
NPI number
1255340642
Active
Practice location
1220 Mound Ave Ste 301
Racine, WI 53404-3350
Mailing address
7127 Old Spring St
Racine, WI 53406-3304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 40910900 (WI) |
Professional Counselor: Definition to come...
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About NPI 1255340642
Michael Allen Boticki, PhD's National Provider Identifier is 1255340642, issued on Aug 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Racine, WI. The record was last updated on Jul 9, 2007.