Individual provider · Type 1 NPI

Carol Boettcher, MS

Mental Health Counselor · South Lyon, MI

NPI number 1508492638 Active

Practice location

303 N Lafayette St
South Lyon, MI 48178-2034

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401018066 (MI)

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About NPI 1508492638

Carol Boettcher, MS's National Provider Identifier is 1508492638, issued on Mar 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Lyon, MI. The record was last updated on Mar 20, 2020.