Individual provider · Type 1 NPI
Nichol A. Boberg, MED, PCC-S
Professional Counselor · Wilder, KY
NPI number
1730487687
Active
Practice location
400 Lakeview Dr Unit 206
Wilder, KY 41071-5310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1268 (KY) |
| Professional Counselor | 101YP2500X | E.8044-SUPV (OH) |
Professional Counselor: Definition to come...
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About NPI 1730487687
Nichol A. Boberg, MED, PCC-S's National Provider Identifier is 1730487687, issued on Mar 2, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilder, KY. The record was last updated on Mar 2, 2011.