Individual provider · Type 1 NPI
Carllotta Bohanen, RN
Professional Counselor · Detroit, MI
NPI number
1306235916
Active
Practice location
24424 W 6 Mile Rd
Detroit, MI 48219-3653
Mailing address
29600 Pickford St
Livonia, MI 48152-3464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4704275160 (MI) |
Professional Counselor: Definition to come...
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About NPI 1306235916
Carllotta Bohanen, RN's National Provider Identifier is 1306235916, issued on Jan 20, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Jan 20, 2015.