Individual provider · Type 1 NPI

Lara Skye Boughman, LPC, CSAC

Professional Counselor · Madison, WI

NPI number 1689884686 Active

Practice location

4785 Hayes Rd Ste 200
Madison, WI 53704-7364

Call (608) 844-8473 Map

Fax (608) 400-8422

Other practice locations

  • 6502 Grand Teton Plz Ste 102, Madison, WI 53719-1047 · (608) 827-7220
  • 1334 Applegate Rd, Madison, WI 53713 · (608) 221-1500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X15459-132 (WI)
Professional Counselor Primary 101YP2500X5352-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1689884686

Lara Skye Boughman, LPC, CSAC's National Provider Identifier is 1689884686, issued on May 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Aug 26, 2024.