Individual provider · Type 1 NPI

Kolby Lee Boeseman

Mental Health Counselor · Westampton, NJ

NPI number 1407465776 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407465776

Kolby Lee Boeseman's National Provider Identifier is 1407465776, issued on Jul 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Jul 23, 2020.