Individual provider · Type 1 NPI

Lisa Bouma, MA LMFT

Marriage & Family Therapist · Grandville, MI

NPI number 1265408017 Active

Practice location

4320 44th St SW, Suite 103
Grandville, MI 49418-2300

Mailing address

4310 Leonard St NW, Suite 103
Grand Rapids, MI 49534

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X4101006210 (MI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1265408017

Lisa Bouma, MA LMFT's National Provider Identifier is 1265408017, issued on Feb 23, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Grandville, MI. The record was last updated on Jan 6, 2010.